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后腹腔镜肾部分切除术治疗肾肿瘤的临床研究

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目的 比较后腹腔镜肾部分切除术(RLPN)与开放性肾部分切除术(OPN)治疗肾肿瘤的临床效果.方法 选取2015年1月至2022年12月我院收治的76例肾肿瘤患者,随机分为OPN组与RLPN组,比较两组的围手术期指标、并发症以及复发率.结果 RLPN组的术中出血量、VAS评分均显著低于OPN组,切口长度、住院时间均显著短于OPN组,并发症总发生率显著低于OPN组(P<0.05);两组的手术时间、复发率比较,差异无统计学意义(P>0.05).结论 RLPN治疗肾肿瘤具有手术创伤小、疼痛轻且并发症少的优势,利于患者术后恢复.
Clinical Study of Retroperitoneal Laparoscopic Partial Nephrectomy in the Treatment of Renal Tumor
Objective To compare the clinical effects of retroperitoneal laparoscopic partial nephrectomy(RLPN)and open partial nephrectomy(OPN)in the treatment of renal tumor.Methods 76 patients with renal tumor admitted to our hospital from January 2015 to December 2022 were selected and randomly divided into OPN group and RLPN group.The perioperative indicators,complications and recurrence rate were compared between the two groups.Results The intraoperative blood loss amount and VAS score in the RLPN group were significantly lower than those in the OPN group,the incision length and hospitalization time were significantly shorter than those in the OPN group,and the total incidence of complications was significantly lower than that in the OPN group(P<0.05);No statistical difference was found in the operation time and recurrence rate between the two groups(P>0.05).Conclusions RLPN has the advantages of less surgical trauma,less pain and fewer complications in the treatment of renal tumor,which is beneficial to the postoperative recovery of patients.

Renal tumorRetroperitoneal laparoscopic partial nephrectomyOpen partial nephrectomyComplicationRecurrence

彭卫华、李园、邹陶、张中华

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新余市人民医院泌尿外科,江西新余 338000

肾肿瘤 后腹腔镜肾部分切除术 开放性肾部分切除术 并发症 复发

新余市指导性科技计划项目

20233090857

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(10)