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目的对比分析后腹腔镜手术与开放性手术在肾肿瘤切除中的应用效果。方法研究对象为珠海市人民医院2012年1月至2014年5月接诊的52例肾肿瘤患者,随机将其均分为对照组和观察组,每组26例。对照组行开放性肾肿瘤切除术治疗;观察组行后腹腔镜肾肿瘤切除术治疗。观察并记录两组患者术中出血量、手术时长、住院时间及术后并发症发生率。随访1年,调查患者肿瘤复发、转移情况。结果观察组术中出血量(56.1±23.6)ml,明显低于对照组的(166.4±43.1)ml,差异有统计学意义(P<0.05),且手术时间、住院时间、术后并发症发生率等观察指标对比差异有统计学意义(P<0.05)。随访结果显示,两组患者1年内肿瘤复发、转移与生存率对比差异未见统计学意义(P>0.05)。结论较开放性肾肿瘤术,后腹腔镜肾肿瘤切除术出血量小、术后并发症少,患者恢复快,优势明显,更适合于临床推广。
Objective To compare and analyze the application effect of retroperitoneal laparoscopic surgery and open surgery in renal tumor resection. Methods The object of study was 52 cases of kidney cancer patients admitted from January 2012 to May 2014 in Zhuhai Municipal People’s Hospital and randomly divided into control group and observation group with 26 cases in each group. The control group underwent open renal tumor resection; the observation group underwent laparoscopic kidney tumor resection. Observe and record the amount of blood loss, operation time, hospitalization time and postoperative complication rate in two groups. Followed up for 1 year, investigated the patient’s tumor recurrence and metastasis. Results The intraoperative blood loss (56.1 ± 23.6) ml in observation group was significantly lower than that in control group (166.4 ± 43.1) ml, the difference was statistically significant (P <0.05), and the operation time, hospitalization time and postoperative complications Rate and other indicators of the difference was statistically significant (P <0.05). The follow-up results showed that there was no significant difference in tumor recurrence, metastasis and survival between the two groups in one year (P> 0.05). Conclusions Compared with open nephrectomy and retroperitoneal laparoscopic nephrectomy, there is less bleeding, fewer postoperative complications, faster recovery and obvious advantages, which is more suitable for clinical promotion.