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目的探讨后腹腔镜肾部分切除术(RLPN)治疗肾肿瘤的效果与安全性。方法 112例肾脏肿瘤患者,按治疗方法不同分为对照组(51例)与研究组(61例)。对照组行开放性肾部分切除术(OPN)治疗,研究组行RLPN治疗。比较两组手术相关指标的差异。结果研究组引流量、出血量及拔管及肠功能恢复时间与对照组相比差异有统计学意义(P<0.05);研究组术后发生尿漏1例,7 d后自行改善,对照组无明显并发症,两组并发症发生率比较差异无统计学意义(P>0.05)。结论 RLPN治疗肾肿瘤安全、可行,效果与开放手术相当,具有恢复快、创伤小等优点,具有临床推广价值。
Objective To investigate the efficacy and safety of retroperitoneal laparoscopic partial nephrectomy (RLPN) in the treatment of renal tumors. Methods One hundred and twelve patients with renal tumors were divided into control group (n = 51) and study group (n = 61) according to different treatment methods. Control group underwent open partial nephrectomy (OPN) treatment, study group RLPN treatment. Differences in the surgery-related indicators were compared between the two groups. Results The drainage volume, hemorrhage volume, extubation and intestinal function recovery time in the study group were significantly different from those in the control group (P <0.05). One case of urine leakage occurred in the study group and self-improvement was achieved after 7 days. The control group No significant complications, the incidence of complications was no significant difference between the two groups (P> 0.05). Conclusion RLPN treatment of renal tumors safe and feasible, the effect is equivalent to open surgery, with the advantages of rapid recovery, small trauma, with clinical promotion value.