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目的:探讨后腹腔镜下肾切除的临床应用优势。方法:肾癌患者50例根据治疗方法的不同分为治疗组25例与对照组25例,治疗组采用后腹腔镜下肾切除,对照组采用传统开放手术。结果:2组所有患者都治疗成功,同时治疗组的切口长度、术后下床活动时间与术中出血量明显少于对照组(P<0.05)。治疗组术后生活质量的生理功能、生理职能、躯体疼痛与总体健康得分都明显高于对照组,对比差异有统计学意义(P<0.05)。结论:后腹腔镜下肾切除术、手术创伤小、手术时间短、术后恢复快、并发症少。该手术方法显示了巨大的优势,值得推广应用。
Objective: To investigate the clinical advantages of retroperitoneal nephrectomy. Methods: Fifty patients with renal cell carcinoma were divided into treatment group (n = 25) and control group (n = 25) according to different treatment methods. The treatment group was treated by retroperitoneal laparoscopic nephrectomy and the control group by traditional open surgery. Results: All patients in 2 groups were successfully treated. At the same time, the length of incision, the time of getting out of bed and the amount of blood loss after operation were significantly less than those of the control group (P <0.05). Physiological function, physical function, physical pain and overall health score of the postoperative quality of life in the treatment group were significantly higher than those in the control group, with significant difference (P <0.05). Conclusions: Retroperitoneal laparoscopic nephrectomy has the advantages of less trauma, shorter operative time, faster recovery and fewer complications. The surgical method shows great advantages, it is worth promoting.