论文部分内容阅读
目的比较后腹腔镜肾切除术与传统开放肾切除术的临床效果。方法回顾性分析自2008年1月~2013年1月在本院接受后腹腔镜肾切除术的44例患者和同期在本院接受传统开放肾切除术的44例患者的临床资料,比较两组患者术中及术后情况。结果观察组手术时间明显短于对照组[(106.5±16.7)min VS(138.4±22.8)min],术中出血量明显小于对照组[(88.3±21.9)ml VS(178.3±41.6)ml],差异均有统计学意义(均P<0.05)。观察组术后下床活动时间[(1.8±0.9)d VS(5.7±1.4)d]、住院时间[(5.9±1.7)d VS(7.8±2.6)d]和术后使用镇痛药物比例(41.6%VS 78.4%)均明显小于对照组,差异均有统计学意义(均P<0.05)。结论后腹腔镜肾切除术对机体创伤较小、术后恢复快,值得推广应用。
Objective To compare the clinical effects of retroperitoneal laparoscopic nephrectomy with conventional open nephrectomy. Methods The clinical data of 44 patients who underwent laparoscopic nephrectomy in our hospital from January 2008 to January 2013 and 44 patients who underwent open nephrectomy in our hospital during the same period were retrospectively analyzed. Intraoperative and postoperative patients. Results The operation time of the observation group was significantly shorter than that of the control group [(106.5 ± 16.7) min VS (138.4 ± 22.8) min], and the amount of bleeding during operation was significantly lower than that of the control group [(88.3 ± 21.9) ml VS (178.3 ± 41.6) The differences were statistically significant (all P <0.05). The time spent on ambulation in the observation group was significantly shorter ([1.8 ± 0.9] d VS (5.7 ± 1.4) d], length of hospital stay (5.9 ± 1.7 d vs 7.8 ± 2.6 d) and postoperative analgesic use 41.6% VS 78.4%) were significantly smaller than the control group, the difference was statistically significant (P <0.05). Conclusions Retroperitoneal laparoscopic nephrectomy has less trauma to the body and quick recovery after operation, which is worth popularizing and applying.