基层医院开展后腹腔镜肾切除术的临床疗效

邹云伟; 黄应龙; 李俊; 施洋君; 普泉; 戴征锦; 左毅刚

基层医院开展后腹腔镜肾切除术的临床疗效

1. 建水县人民医院泌尿外科
2. 昆明医科大学第二附属医院泌尿外科

基金项目:

基金：国家自然科学基金资助项目 (81460384);

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出版历程
- 收稿日期: 2018-03-14

A Clinical Experience of Laparoscopic Nephrectomy in Primary Hospital

Funds:

基金：国家自然科学基金资助项目 (81460384);

摘要

摘要: 目的探讨后腹腔镜肾切除术在基层医院开展的临床价值.方法回顾性分析建水县人民医院2014年7月至2017年12月开展的后腹腔镜下肾切除术20例, 及同期行开放性肾切除术的患者23例作为对照组, 对2者手术情况及术后恢复情况进行分析对比.结果 2组患者均手术成功.腹腔镜组手术时间 (110.14±15.63) min, 对照组手术时间 (100.33±10.58) min, 2组患者比较差异无统计学意义 (P>0.05) .2组患者术后随访期内无并发症发生, 差异无统计学意义 (P>0.05) .2组患者术中出血量分别为 (40.63±22.21) m L及 (80.45±38.31) m L, 其差异有统计学意义 (P<0.05) .2组患者术后引流管留置时间分别为 (23) d和 (67) d, 差异有统计学意义 (P<0.05) , 2组术后住院时间分别为 (3.2±2.2) d及 (6.4±3.3) d, 其差异有统计学意义 (P<0.05) .结论腹腔镜肾切除术具有创伤小、恢复快、住院时间短等优点, 随着操作技术的提高, 会带来更多的优势, 值得推广.
- 后腹腔镜肾切除术 /
- 基层医院 /
- 临床价值
Abstract: Objective To investigate the clinical value and the experience of retroperitoneal laparoscopic nephrectomy in primary hospitals. Methods A retrospective analysis of 20 cases of retroperitoneal nephrectomy performed in the people's hospital of Jianshui from July 2014 to December 2017 and 23 cases of open nephrectomy in the same period as the control group, the two groups of surgery and postoperative recovery were analyzed and compared. Results The two groups of patients were operated successfully. The surgery time of the laparoscopic group was (110.14 ±15.63) min and the control group was (100.33 ±10.58) min. There was no statistical difference between the two groups (P>0.05) . No complications occurred during the follow-up period between the two groups, and the difference was not statistically significant. The intraoperative blood loss in the two groups was (40.63 ±22.21) ml and (80.45 ±38.31) m L respectively, and the difference was statistically significant (P< 0.05) .The indwelling time of drainage tube in the two groups was (2-3) days and (6-7) days respectively. The difference was statistically significant (P< 0.05) , and the hospitalization time was (3.2 ±2.2) days and (6.4 ± 3.3) days respectively, the difference was statistically significant (P<0.05) . Conclusions Laparoscopic nephrectomy has the advantages of less trauma, faster recovery and shorter hospital stay. With the improvement of operation technique, it will bring more advantages and be worth popularizing.
- Laparoscopic nephrectomy /
- Primary hospital /
- Clinical value

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参考文献(15)

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