论文部分内容阅读
目的评价开放与经腹膜后腹腔镜行肾蒂淋巴管结扎术的临床价值。方法将26例开放行肾蒂淋巴管结扎术患者的临床资料与32例经腹膜后腹腔镜肾蒂淋巴管结扎术患者的临床资料进行比较,统计分析两种术式在手术时间、术中出血量、术后镇痛、术后住院天数、术后恢复工作时间、拔管时间等的差别。结果所有手术均获成功。两组手术时间分别为(145.77±3.85)min和(99.78±4.86)min;术中出血量分别为(32.89±4.11)mL和(13.47±2.36)mL;术后镇痛分别占88.46%和0.94%;术后住院天数分别为(9.08±0.25)d和(7.19±0.29)d,术后恢复工作时间分别为(29.23±1.54)d和(19.66±1.08)d。两组比较差异均有显著性(P<0.01)。两组在拔管时间上差异无统计学意义(P>0.05)。结论经腹膜后腹腔镜肾蒂淋巴管结扎术具有创伤小、手术时间短、术中出血少、淋巴管结扎彻底、术后恢复快、并发症少等优点,已成为现代肾蒂淋巴管结扎术治疗的的最佳选择。
Objective To evaluate the clinical value of open and retroperitoneal laparoscopic renal pedicle lymphatic drainage. Methods The clinical data of 26 patients with renal pedicle lymphatic drainage and 32 patients who underwent retroperitoneal laparoscopic nephroureterectomy were compared. The clinical data of two kinds of operation were analyzed at operation time, intraoperative bleeding Volume, postoperative analgesia, postoperative hospital days, postoperative recovery time, extubation time and other differences. Results All the operations were successful. The operative time of the two groups were (145.77 ± 3.85) min and (99.78 ± 4.86) min respectively, and the intraoperative blood loss was (32.89 ± 4.11) mL and (13.47 ± 2.36) mL respectively. Postoperative analgesia accounted for 88.46% and 0.94 %. The days of postoperative hospital stay were (9.08 ± 0.25) d and (7.19 ± 0.29) d, respectively, and the postoperative recovery time was (29.23 ± 1.54) d and (19.66 ± 1.08) d, respectively. The differences between the two groups were significant (P <0.01). There was no significant difference in extubation time between the two groups (P> 0.05). Conclusion The retroperitoneal laparoscopic renal pedicle lymphatic ligation has the advantages of less trauma, shorter operative time, less intraoperative bleeding, complete lymphatic ligation, rapid postoperative recovery, less complications, and has become a modern renal pedicle lymphatic ligation The best choice for treatment.