复合微孔多聚糖止血粉在腹腔镜肾部分切除术中的应用  

Application of microporous polysaccharide hemospheres in laparoscopic partial nephrectomy

作　　者：张自刚[1] 刘铁柱[1] 邴建勇[1] 杨亮[1] 李秀凤[1] 曹福华[1] 朴庆华[1] Zhang Zigang;Liu Tiezhu;Bing Jianyong;Yang Liang;Li Xiufeng;Cao Fuhua;Piao Qinghua(Department of Urology,Daqing Oilfield General Hospital,Heilongjiang 163001,China)

机构地区：[1]大庆油田总医院泌尿外科,黑龙江163001

出　　处：《中华腔镜泌尿外科杂志（电子版）》2020年第4期288-291,共4页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的评价复合微孔多聚糖止血粉(MPH)在腹腔镜肾脏部分切除术中的安全性及有效性。方法采用前瞻性研究,入组我院2014年至2018年期间收治的62例外向性生长肾肿瘤(CT直径3~4 cm)患者,均行腹腔镜肾部分切除术,将符合条件的患者随机分为MPH组(术中应用MPH止血)和对照组(常规止血)。对两组出血量、热缺血时间、止血时间、术后恢复情况进行比较。结果两组患者热缺血时间及切除的肾脏组织重量差异无统计学意义(P>0.05),MPH组在止血时间、出血量、术后住院时间、带管时间、引流量方面均小于对照组(P<0.05)。两组术后组间比较凝血功能差异无统计学意义。(P>0.05)。结论MPH在腹腔镜肾部分切除术中的应用安全有效,为腹腔镜手术止血提供了一个有效的方法。Objective To evaluate the safety and efficacy of microporous polysaccharide hemospheres(MPH)in laparoscopic partial nephrectomy.Methods Sixty-two cases of extroverted growth renal tumor(CT diameter 3-4 cm)were selected from 2014 to 2018 and randomly divided into MPH group and control group prospectively.The amount of bleeding,warm ischemic time,hemostasis time and postoperative recovery of the two groups were compared.Results There was no significant difference in the warm ischemic time and weight of renal tissue between the two groups(P>0.05).The MPH group was less than the control group in hemostatic time,bleeding volume,postoperative hospital stay,duration of retaining canal and volume of drainage(P<0.05).There was no significant difference in coagulation function between the two groups(P>0.05).Conclusion Composite microporous hemostatic powder is safe and effective in laparoscopic partial nephrectomy,it provides an effective method for laparoscopic hemostasis.

关 键 词：肾部分切除术 复合微孔多聚糖止血粉 前瞻性研究 

分 类 号：R737.11[医药卫生—肿瘤]