后腹腔镜下肾癌根治术与开放性肾癌根治术的疗效比较分析

The curative effect of laparoscopic radical prostatectomy and openness kidney cancer radical

目的比较后腹腔镜下肾癌根治术与开放性肾癌根治术的疗效。方法选取2013年6月。2014年6月的88例肾癌患者作为研究对象，并将其随机分为对照组和观察组，每组44例，对照组行开放性肾癌根治术，观察组行后腹腔镜下肾癌根治术，比较两组患者的手术时间、术中出血量、术后镇静剂的使用量、住院时间及并发症情况。结果两组的手术时间相比差异无统计学意义（P〉0．05）；观察组的术中出血量、术后镇静剂的使用量和住院时间均少于对照组，差异有统计学意义（P〈0．05）；观察组并发症发生率低于对照组，差异有统计学意义（P〈0．05）。结论对肾癌患者行后腹腔镜下肾癌根治术可有效减少术中出血量和术后镇静剂的使用量，缩短住院时间，降低并发症发生率。值得临床推广应用。

Objective To compare the curative effect of laparoscopic radical prostatectomy and openness kidney cancer radical. Methods A total of 88 cases of renal cancer patients from June 2014 to June 2013 were randomly divided into control group and observation group, each group of 44 cases. The control group was treated with open renal cancer radi- cal,observation group was adopted laparoscopic kidney cancer radical prostatectomy.The operation time,intraoperative blood loss, postoperative usage of valerian, length of hospital stay and complications were compared between two groups. Results The operation time had no obvious difference between two groups（P〉0.05）; The intraoperative blood loss,post- operative analgesic usage and length of hospital stay in observation group were less than the control group, the differ- ence was significant between two groups （P〈0.05）. The incidence of complications of observation group was lower than the control group,the difference was significant （P〈0.05）. Conclusion Laparoscopic kidney cancer radical can effectively decrease the intraoperative blood loss and postoperative analgesic use, shorten hospitalization time, reduce the incidence of complications, worthy of clinical popularization and application.