后腹腔镜手术治疗肾肿瘤的临床效果研究  

Study on clinical effect of retroperitoneal laparoscopic surgery for renal tumors

作　　者：冯建坤 FENG Jian-kun(Urology Department,Liangshan County People's Hospital,Liangshan 272600,China)

机构地区：[1]梁山县人民医院泌尿外科,272600

出　　处：《中国实用医药》2023年第20期11-14,共4页China Practical Medicine

摘　　要：目的探讨后腹腔镜手术治疗肾肿瘤的临床效果。方法选取74例肾肿瘤患者为研究对象,随机分为参照组和研究组,各37例。参照组患者采取腹腔镜肾部分切除术治疗,研究组患者采用后腹腔镜手术治疗。对比两组患者围手术期指标(手术时间、胃肠道功能恢复时间、术中出血量、住院时间),治疗效果,并发症(伤口感染、尿路感染、肠粘连)发生率,治疗前后生活质量(生理状态、健康情况、社会功能、心理状态)。结果研究组患者手术时间、胃肠道功能恢复时间及住院时间分别为(107.35±14.13)min、(1.64±0.47)d、(7.22±1.38)d,均明显短于参照组的(122.61±13.81)min、(3.01±0.94)d、(13.12±1.79)d,术中出血量(36.78±9.26)ml少于参照组的(92.83±15.65)ml,差异有统计学意义(P<0.05)。研究组患者治疗总有效率97.30%高于参照组的75.68%,差异有统计学意义(P<0.05)。研究组患者并发症发生率2.70%低于参照组的21.62%,差异有统计学意义(P<0.05)。治疗前,两组患者生理状态、健康情况、社会功能、心理状态评分对比差异无统计学意义(P>0.05)。治疗后,研究组患者生理状态、健康情况、社会功能、心理状态评分分别为(87.81±7.60)、(86.14±7.54)、(87.88±5.62)、(88.46±8.45)分,均高于参照组的(80.22±7.71)、(80.72±7.41)、(82.34±5.80)、(80.05±6.68)分,差异有统计学意义(P<0.05)。结论为肾肿瘤患者实施后腹腔镜手术治疗,能够缩短患者治疗时间及康复时间,更好地改善患者预后,提高患者生活质量,可以将该手术方式在临床推广应用。Objective To discuss the clinical effect of retroperitoneal laparoscopic surgery for renal tumors.Methods A total of 74 patients with renal tumors were studied and randomly divided into a reference group and a study group,with 37 patients in each group.The reference group was treated with laparoscopic partial nephrectomy,and the study group was treated with laparoscopic partial nephrectomy.Both groups were compared in terms of perioperative indexes(operative time,gastrointestinal function recovery time,intraoperative blood loss,length of hospital stay),therapeutic effect,complication(wound infection,urinary tract infection,intestinal adhesion)rate,and quality of life(physiological state,health status,social function,psychological state)before and after treatment.Results The operative time,gastrointestinal function recovery time and length of hospital stay in the study group were(107.35±14.13)min,(1.64±0.47)d and(7.22±1.38)d,which were significantly shorter than those of(122.61±13.81)min,(3.01±0.94)d and(13.12±1.79)d in the reference group;the intraoperative blood loss of(36.78±9.26)ml in the study group was less than that of(92.83±15.65)ml in the reference group;the differences were statistically significant(P<0.05).The total effective rate of the study group was 97.30%,which was higher than that of 75.68%of the reference group,and the difference was statistically significant(P<0.05).The complication rate of 2.70%in the study group was lower than that of 21.62%in the reference group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in the scores of physiological state,health status,social function,psychological state between the two groups(P>0.05).After treatment,the scores of physiological state,health status,social function,and psychological state in the study group were(87.81±7.60),(86.14±7.54),(87.88±5.62),and(88.46±8.45)points,which were higher than those of(80.22±7.71),(80.72±7.41),(82.34±5.80),and(80.05±6.68)points in

关 键 词：肾肿瘤 后腹腔镜手术 泌尿外科 生活质量 

分 类 号：R737.11[医药卫生—肿瘤]