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目的:研究分析大体积肾癌患者接受开放性根治术和腹腔镜根治术的临床效果及安全性。方法:根据2010年7月至2012年12月该院的65例大体积肾癌患者来进行研究分析,分为腹腔镜组和开放组,腹腔镜组共33例,使用腹腔镜根治术,开放组共32例,使用根治性肾切除术,对两组患者的临床治疗效果以及预后情况进行对比分析。结果:腹腔镜组患者临床中接受手术治疗的时间比开放组要高,失血量比开放组要低,住院时间比开放组要少,两组对比存在统计学差异。两组的并发症概率对比为腹腔镜组稍低,不存在统计学差异性,腹腔镜组共有19例转移和13例死亡,比例是57.6%和39.4%,对照组有22例转移和15例死亡,比例是68.8%和46.9%,结果存在统计学差异性(P>0.05)。结论:对手术以及操作熟练后,腹腔镜根治术对大体积肾癌患者的临床治疗效果比较好,应该进行推广使用。
Objective: To study the clinical effect and safety of open radical surgery and laparoscopic radical mastectomy in patients with large volume renal cell carcinoma. Methods: From July 2010 to December 2012 in the hospital of 65 cases of large renal cell carcinoma patients were analyzed and divided into laparoscopic group and open group, a total of 33 cases of laparoscopic group, the use of laparoscopic radical mastectomy, open A total of 32 cases, the use of radical nephrectomy, the two groups of patients with clinical treatment and prognosis were compared. Results: In laparoscopic group, the time of surgical treatment was higher in open surgery group than in open group. The blood loss in laparoscopic group was lower than that in open group and less in hospitalization than in open group. There was significant difference between the two groups. Comparisons of the probability of complications between the two groups were slightly lower for the laparoscopic group, there was no statistical difference, laparoscopic group had a total of 19 cases of transfer and 13 deaths, the ratio was 57.6% and 39.4% in the control group, 22 cases were transferred and 15 cases Died, the proportion was 68.8% and 46.9%, the result was statistically significant (P> 0.05). Conclusion: Laparoscopic surgery is effective in the treatment of patients with large volume renal cell carcinoma after surgery and operation, and should be popularized.