膈肌内侧弓状韧带定位肾动脉在后腹腔镜切肾手术中的应用推广  

Application and popularization of medial arcuate ligament of diaphragm to locate renal artery in retroperitoneal laparoscopic nephrectomy

作　　者：杨奇志 肖海涛 罗明俊 沈南山 YANG Qizhi;XIAO Haitao;LUO Mingjun;SHEN Nanshan(Department of Urology,the 302nd Hospital of China Guizhou Aviation Group,Anshun,Guizhou 561000,China)

机构地区：[1]中国贵航集团三〇二医院泌尿外科,贵州安顺561000

出　　处：《中国医学工程》2022年第11期73-76,共4页China Medical Engineering

基　　金：安顺市科技计划项目(安市科社[2021]44号)。

摘　　要：目的探讨膈肌内侧弓状韧带定位肾动脉在后腹腔镜切肾手术中的应用价值,为其进一步在临床上推广提供依据。方法选取2021年3月至2022年1月中国贵航集团三〇二医院50例行后腹腔镜肾切除的患者随机分为观察组(n=25)和对照组(n=25),两组均给予后腹腔镜肾切除术,观察组在手术过程中进行膈肌内侧弓状韧带定位肾动脉,比较两组患者手术指标、术后恢复指标、血红蛋白变化及术后并发症发生情况。结果观察组手术时间、术中出血量较对照组显著降低(P<0.05)。术前两组患者血红蛋白指标水平,差异无统计学意义(P>0.05),术后两组患者血红蛋白水平均显著下降,且对照组患者血红蛋白水平显著低于观察组(P<0.05)。观察组患者引流管量、住院时间、医疗费用较对照组患者显著降低(P<0.05)。观察组患者术后并发症发生率为4.00%,较对照组患者12.00%显著降低(P<0.05)。结论膈肌内侧弓状韧带定位肾动脉的后腹腔镜切肾患者可减少手术时间与出血量,降低并发症,促进恢复,值得推广。【Objective】To explore and analyze the application of the medial arcuate ligament of the diaphragm to locate the renal artery in retroperitoneal laparoscopic nephrectomy,and to provide a basis for its further clinical promotion.【Methods】Fifty routine patients with retroperitoneal laparoscopic nephrectomy selected from March 2021 to January 2022 were randomly divided into an observation group(n=25)and a control group(n=25),both of whom received retroperitoneal nephrectomy.The observation group underwent the medial arcuate ligament of the diaphragm to locate the renal artery during the operation.Recovery indexes,hemoglobin changes and postoperative complications were compared.【Results】The operation time and intraoperative blood loss in the observation group were significantly lower than those in the control group(P<0.05),and there was no significant difference in the levels of hemoglobin between the two groups before operation(P>0.05),the hemoglobin level of the two groups decreased significantly after operation,but the hemoglobin level of the control group decreased more significantly after operation(P<0.05).The incidence of postoperative complications in the observation group was 4.00%,which was significantly lower than that in the control group(12.00%)(P<0.05).【Conclusion】Patients with the medial arcuate ligament of the diaphragm locating the renal artery underwent posterior laparoscopic nephrectomy can shorten the operation time,reduce the amount of intraoperative blood loss,accelerate the postoperative recovery of patients,reduce the incidence of postoperative complications,and improve the safety of the operation,which is worthy of promotion.

关 键 词：膈肌内侧弓状韧带 肾动脉 腹腔镜 肾切除 

分 类 号：R699.2[医药卫生—泌尿科学]