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目的:观察比较免打结后腹腔镜肾部分切除术与开放肾部分切除术治疗小肾癌的效果。方法:选择小肾癌80例,随机分为观察组和对照组各40例。观察组采用免打结后腹腔镜肾部分切除术,对照组采用开放肾部分切除术,比较两组手术时间、热缺血时间、手术出血量、术后留置引流管时间、术后下床活动时间、引流液量、术后镇痛药使用比例、住院时间、术后并发症发生情况等。结果:观察组手术时间、术后留置引流管时间、术后下床活动时间、引流液量和术后住院时间显著或非常显著少(早)于对照组(P<0.05,P<0.01),热缺血时间和手术出血量两组比较,差异不显著(P>0.05)。观察组术后使用镇痛药7例,非常显著少于对照组的26例(P<0.01)。术后并发症发生率两组比较,差异不显著(P>0.05)。结论:免打结后腹腔镜肾部分切除术治疗小肾癌效果优于开放肾部分切除术。
Objective: To observe the effect of laparoscopic partial nephrectomy and open partial nephrectomy in the treatment of small renal cell carcinoma after tipping surgery. Methods: 80 small renal cell carcinoma patients were randomly divided into observation group and control group, 40 cases each. The observation group received laparoscopic nephrectomy without knotting and the control group with open partial nephrectomy. The operation time, warm ischemia time, blood loss, postoperative indwelling drainage tube time, postoperative ambulation Time, fluid drainage, the proportion of postoperative analgesics, hospital stay, postoperative complications and so on. Results: The operation time of the observation group, the time of postoperative indwelling drainage tube, the time of getting out of bed after operation, the drainage volume and postoperative hospital stay were significantly or very significantly less (P <0.05, P <0.01) There was no significant difference between warm ischemic time and operative bleeding in both groups (P> 0.05). Seven patients in the observation group were treated with analgesic drugs, which were significantly less than those in the control group (P <0.01). The incidence of postoperative complications between the two groups, the difference was not significant (P> 0.05). Conclusion: Laparoscopic partial nephrectomy for the treatment of small renal cell carcinoma is superior to open partial nephrectomy.