腹腔镜下上尿路解剖和腹膜后腹腔镜肾癌根治术的临床研究

Clinical Study of Laparoscopic Upper Urinary Tract Anatomy and Retroperitoneal Laparoscopic Radical Nephrectomy

目的研究腹腔镜下上尿路解剖和腹膜后腹腔镜肾癌根治术的临床疗效。方法随机选取我院2017年2月—2018年2月收治的肾癌患者86例作为研究对象。根据入院顺序,将其分成对照组和研究组,每组各43例。对照组行传统肾癌根治术治疗方案,研究组行腹腔镜下上尿路解剖联合腹膜后腹腔镜肾癌根治术治疗方案,对比两组患者的治疗效果。结果研究组患者的手术切口长度、术中出血量及住院时间均优于对照组,组间数据对比,差异具有统计学意义(P<0.05);研究组患者术后并发症发生率较低,其数据结果低于对照组,组间数据对比,差异具有统计学意义(P<0.05)。结论针对肾癌患者采用腹腔镜下上尿路解剖联合腹膜后腹腔镜肾癌根治术治疗方案,创伤性较小,有效减少术中出血量,降低患者术后并发症发生率,缩短患者住院时间,其研究结果可为临床治疗提供有效参考依据。

Objective To study the clinical effcacy of laparoscopic upper urinary tract anatomy and retroperitoneal laparoscopic radical nephrectomy. Methods 86 cases of renal cell carcinoma admitted to our hospital from February 2017 to February 2018 were randomly selected as the research subjects. According to the order of admission, they were divided into the control group and the research group, 43 cases in each group. The control group was treated with traditional radical nephrectomy for renal cancer. The study group underwent laparoscopic upper urinary tract anatomy combined with retroperitoneal laparoscopic radical nephrectomy. The treatment effect of two groups of patients was compared. Results the length of incision, intraoperative blood loss and hospitalization time in the study group were significantly better than those in the control group, the difference was statistically significant （P〈0.05）. The incidence of postoperative complications in the study group was lower, and the data in the study group were significantly lower than those in the control group, the difference was statistically signifcant （P〈0.05）. Conclusion For patients with renal cell carcinoma by endoscopic upper urinary tract anatomy combined with retroperitoneal laparoscopic radical nephrectomy treatment, traumatic small, effectively reduce the amount of bleeding, reduce the incidence of postoperative complications,shorten the hospitalization time of patients.