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目的观察尿道电切术联合后腹腔镜治疗肾盂输尿管肿瘤患者的临床效果。方法将67例肾盂输尿管肿瘤患者随机分为A组33例和B组34例,A组实施传统开放式手术,B组实施尿道电切术联合后腹腔镜治疗,将2组疗效进行比较。结果 2组患者手术均顺利完成,术后随访均未发现转移、复发病例。B组出血量少于A组,胃肠功能恢复时间、下地活动时间及住院时间均短于A组,手术时间长于A组,差异均有统计学意义(P<0.05)。A组出现术后并发症3例(9.09%),包括出血1例,感染2例,B组患者未见明显并发症,B组并发症发生率为0低于对照组的9.09%,差异有统计学意义(P<0.05)。结论尿道电切术联合后腹腔镜治疗肾盂输尿管肿瘤疗效较为理想,且安全性高,值得临床推广。
Objective To observe the clinical effect of urethra resection combined with retroperitoneal laparoscopy in the treatment of ureteropelvic cancer. Methods Thirty-seven patients with pyeloureteral cancer were randomly divided into group A (33 cases) and group B (34 cases). Group A received conventional open surgery and Group B received urethral resection combined with retroperitoneal laparoscopy. The curative effect was compared between the two groups. Results The patients in both groups were successfully performed. No metastasis or recurrence was found after follow-up. The bleeding volume in group B was less than that in group A, the recovery time of gastrointestinal function, the time of lower gastrointestinal function and hospital stay were shorter than those in group A, and the operation time was longer than that of group A (P <0.05). A group of postoperative complications occurred in 3 cases (9.09%), including 1 case of bleeding, 2 cases of infection, B group showed no significant complications, B group complication rate was 0 9.99% of the control group, the difference was Statistical significance (P <0.05). Conclusions Urethra resection combined with retroperitoneal laparoscopic treatment of renal pelvis and ureter tumor is more ideal and safe, it is worth clinical promotion.