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腹腔镜在泌尿外科手术治疗中的应用效果

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目的 分析在泌尿外科手术治疗中用腹腔镜辅助的应用效果。方法 将福州市第一总医院 2022 年 1-12 月收治的行泌尿外科手术的 90 例患者作为观察对象,以随机法(摸球法)分为观察组与对照组,各 45 例。观察组用腹腔镜辅助泌尿外科手术治疗,对照组用常规泌尿外科治疗。比较 2 组手术指标(手术时间与住院时间、术中出血量)、术后并发症发生率(腹腔感染、皮下气肿、切口感染)、视觉模拟评分法(visual analogue scale,VAS)及改良Barthel指数。结果 观察手术时间和住院时间短于对照组,术中出血量低于对照组,差异有统计学意义(P<0。05);2 组治疗前VAS评分与Barthel指数比较,差异无统计学意义(P>0。05);治疗后,观察组Barthel指数评分高于对照组,VAS评分低于对照组,差异有统计学意义(P<0。05);观察组术后并发症总发生率为 6。67%,低于对照组的 22。22%,差异有统计学意义(P<0。05)。结论 在泌尿外科手术治疗中采取腹腔镜辅助治疗可提高手术治疗效果,减少出血量,降低术后并发症,减轻疼痛程度,较常规泌尿外科手术治疗更有助于促进治疗后康复,缩短住院时间,提高术后生活质量。
Application Effect of Laparoscopy in Urological Surgery Treatment
[Abstrac]Objective To analyze the application effect of laparoscopic assistance in urological surgical treatment.Methods A total of 90 patients undergoing urological surgery admitted to Fuzhou First General Hospital from January to December 2022 were divided into observation group and control group by random method(touch ball method),with 45 cases in each group.The observation group was treated with laparoscopic assisted urological surgery,while the control group was treated with conventional urological surgery.The surgical indicators(surgical time and hospital stay,intraoperative bleeding volume),postoperative complications(abdominal infection,subcutaneous emphysema,incision infection),visual analogue scale(VAS)and the improved Barthel index were compared.Results The surgical time and hospital stay were shorter than that of control group,and the intraoperative bleeding volume of observation group was lower than that of control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in VAS score and Barthel index between the two groups before treatment(P>0.05).After treatment,the Barthel index score of the observation group was higher than that of the control group,and the VAS score was lower than that of the control group,the difference was statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was 6.67%,lower than 22.22%in the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic assisted treatment in urological surgery can significantly improve the effectiveness of surgical treatment,reduce bleeding,reduce postoperative complications,and alleviate pain.Compared with conventional urological surgery,it is more helpful in promoting postoperative recovery,shortening hospitalization time,and improving postoperative quality of life.

laparoscopyurologysurgical treatmentbleeding volumecomplicationsquality of life

黄泽毅、谢辉、倪良诚

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福州市第一总医院泌尿外科,福建 福州 350009

腹腔镜 泌尿外科 手术治疗 出血量 并发症 生活质量

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(4)
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