后腹腔镜与传统手术治疗肾肿瘤的临床效果对比观察研究

Comparison of Clinical Effects Between Retroperitoneal Laparoscopy and Traditional Operation in Treatment of Renal Tumors

目的探讨后腹腔镜与传统手术治疗肾肿瘤的临床疗效。方法随机抽取该院泌尿科2012年6月—2015年1月收治的60例肾肿瘤患者,随机数字表法分为观察组和对照组,每组30例,术前均相应的手术前准备,观察组给予后腹腔镜手术,对照组给予传统手术治疗,观察两组手术基本情况和不良反应。结果观察组手术时间、术中出血量、术后活动时间、尿管停留时间、住院时间以及胃肠功能恢复时间等明显短于对照组,差异有统计学意义(P<0.05)。观察组出现脾脏损伤1例、术后出血1例,对照组胸膜损伤1例,术后出血1例、肠麻痹1例、尿瘘1例、肾功能不全1例、感染1例,观察组发生为6.67%,对照组为26.67%,差异有统计学意义(P<0.05)。结论后腹腔镜治疗肾肿瘤治疗效果优于传统手术治疗,并且具有一定安全性。

Objective To investigate the clinical effects of retroperitoneal laparoscopy and traditional operation in the treatment of renal tumors. Methods 60 cases of renal tumors patients in Department of Urology of our hospital from June 2012 to January 2015 were selected and randomly divided into the observation group and control group in accordance with the random number table.Each group contained 30 cases, and the preoperative preparations were all conducted. The observation group was given laparoscopic surgery, and the control group was given traditional operation. The operative basic conditions and adverse reactions of the two groups were observed. Results The operative time, intraoperative blood loss, postoperative ambulation, duration of indwelling catheter, duration of hospitalization and recovery time of gastrointestinal function in the observation group were significantly shorter than those in the control group, and the differences were statistically significant（ P〈0.05）. In the observation group, there were 1case of spleen injury, 1 case of postoperative bleeding, while in the control group, there were 1 case of pleural injury, 1 case of postoperative bleeding, 1 case of intestinal paralysis, 1 case of fistula, 1 case of renal insufficiency, and 1 case of infection, and there was statistically significant between the adverse reactions of the two groups, which were 6.67% vs 26.67%,（P〈0.05）.Conclusion The clinical effect of retroperitoneal laparoscopy, which shows higher safety, is better than that of traditional operation in the treatment of renal tumors.