肾肿瘤采用肾癌根治术治疗的临床体会

Clinical Experience of Renal Tumor by Radical Nephrectomy for Renal Cell Carcinoma Treatment

目的对肾癌患者使用根治术的治疗效果进行探讨分析。方法根据我院接收的50例肾肿瘤患者来进行研究分析,全部的患者都进行了肾癌根治治疗,将患者分组为A、B两组,采取不同的治疗方法,A组25例患者使用腹腔镜肾癌根治术,B组25例患者使用开腹肾癌根治术,对两组患者的切除效果进行对比分析。结果 A组患者手术时长、术后出血量、术后肠道功能恢复时间、住院时长等指标明显优于B组(P<0.05),组间比较差异显著,有统计学意义;A组患者术后并发症发生率为8.0%,B组术后并发症发生率为36.0%,A组患者术后并发症发生率明显高于B组(P<0.05)。结论腹腔镜行胃癌根治术相比开腹手术更加优秀,患者的出血量少,术后恢复时间短,临床创伤小,因此患者接受度高,值得进行推广使用。

Objective To carry on the discussion to analysis of renal cell carcinoma patients using radical surgery treatment effect. Methods According to the 50 cases of renal tumor patients in our hospital received to carry on the research analysis, all patients were treated with radical nephrectomy, will be grouped into A, B two groups, adopt different methods of treatment, A group of 25 patients using laparoscopic radical nephrectomy, B group of 25 patients using open abdominal radical nephrectomy comparative analysis of the efficacy of resection, two groups of patients. Results In A group, operation time, postoperative bleeding, postoperative intestinal function recovery time, and length of hospital stay were significantly better than those in B group （P〈0.05）, the differences between groups was significant, the difference was statistically significant;the complication rate was 8% in patients with A group, the complication rate was 36% in group B after operation. Patients in group A, the incidence rate of complications was significantly higher than group B （P〈0.05）. Conclusion Laparoscopic radical gastrectomy for gastric cancer compared to open surgery in patients with more excellent, less bleeding, the postoperative recovery time is short, the clinical wound is small, so the patient acceptance is high, it is worth to promote the use of.