后腹腔镜肾部分切除术与开放手术治疗肾肿瘤的手术疗效比较

Curative effect comparison of retroperitoneal partial nephrectomy and open operation in treatment of renaltumors

目的观察后腹腔镜肾部分切除术与开放手术治疗肾肿瘤的临床疗效。方法选取2012年2月至2014年2月于开封市中心医院接受治疗的60例肾肿瘤患者作为研究对象，按照手术方式将其分为观察组（n=35）与对照组（n=25），观察组接受后腹腔镜肾部分切除术治疗，对照组接受开放手术治疗，对比观察两组患者的手术治疗效果。结果观察组术中出血量为（129．37±65．15）ml，血管阻断时间为（19．41±4．07）min，均明显低于对照组，组间比较差异有统计学意义（P〈0．05）；观察组肛门排气时间（2．36±0．95）d，住院时间（10．12±1．77）d，术后恢复时间（14．14±10．81）d，均明显短于对照组（P〈0．05）。结论在肾肿瘤患者的临床治疗中，宜首选后腹腔镜肾部分切除术方案，兼具疗效与安全性．且患者术中出血量少．血管阻断时间短．术后恢膏逮唐快．值得推广．

Objective To observe the clinical efficacy of retroperitoneal laparoscopic partial nephrectomy and open operation on renal tumors. Methods Selected 60 cases of renal tumor patients from February 2012 to February 2014 trea- ted in central hospital of Kaifeng as the research objects, according to the surgery, the patients were divided into the ob- servation group（ n = 35 ） and control group（ n = 25 ） , observation group received retroperitoneal laparoscopic partial nephrectomy treatment, control group received open surgical treatment, the operative treatment efficacy of the two groups were compared. Results In observation group, the amount of hemorrhage was（ 129.37 ＋- 65.15 ） ml, vascular oc- clusion time was（ 19.41 ＋ 4. 07 ） min, which were significantly lower than those of the control group, there were significant difference （ P 〈 0. 05 ） ; Anal exhaust time of observation group was （ 2. 36 ± 0. 95 ） d, hospitalization time was （ 10. 12 ± 1.77） d, postoperative recovery time was（ 14. 14 ± 10. 81 ） d, which were significantly shorter than those of control group （P 〈 0. 05 ）. Conclusions For clinical renal tumor patients, retroperitoneal laparoscopic partial nephrectomy scheme should be the first choice, has efficacy and safety, less blood loss, vascular occlusion time is short, fast postoperative re- cover,/, so it is worthy of promotion.