腹腔镜手术治疗泌尿系肿瘤的临床研究

Clinical Study of Laparoscopic Surgery in Urologic Tumors

目的观察腹腔镜手术在泌尿系肿瘤临床治疗中的应用效果。方法选取2015年8月至2017年1月本院收治的72例泌尿系肿瘤患者作为研究对象,并分为观察组(腹腔镜手术)和对照组(常规开腹手术),各36例。观察两组患者的手术效果及患者的预后。结果观察组患者手术满意度、1年生存率(94.44%,97.2%)均高于对照组(77.78%,83.33%),差异具有统计学意义(P <0.05);观察组并发症发生率、术中出血量[8.33%,(219.04±30.61)mL]低于对照组[22.22%,(405.83±42.18)mL],观察组手术时间、术后排气时间、住院时间[(164.98±21.22)min,(20.62±4.22)h,(9.02±1.49)d]均短于对照组[(251.42±40.85)min,(47.74±5.36)h,(14.22±5.28)d,P <0.05]。结论腹腔镜手术治疗泌尿系肿瘤具有良好地疗效。

Objective To explore the effect of laparoscopic surgery in the treatment of urologic tumors.Methods From August 2015 to January 2017,72 patients with urinary tract tumor were selected and divided into observation group(laparoscopic surgery)and control group(routine open surgery),36 cases each.The operation effect and prognosis of the two groups were observed.Results The operation satisfaction and 1-year survival rate of the observation group(94.44%and 97.2%)were higher than those of the control group(77.78%and 83.33%),with statistical significance(P<0.05).The complication rate and intraoperative bleeding volume of the observation group[8.33%,219.04±30.61 mL]were lower than those of the control group(22.22%,405.83±42.18 mL).The operation time,postoperative exhaust time,and residence time of the observation group were lower than those of the control group.The hospital stay was(164.98±21.22 min,20.62±4.22 h,9.02±1.49 d]shorter than that of the control group(251.42±40.85 min,47.74±5.36 h,14.22±5.28 d,P<0.05].Conclusion Laparoscopic surgery is effective in the treatment of urologic tumors.