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目的:研究腹膜后腹腔镜下肾切除术红细胞对机体免疫反应。方法:选取本院自2012年1月～2013年10月进行肾切除术患者30例,对其进行分组治疗,分为对照组和观察组,对照组采用经腰部开放性肾部分切除术,观察组采用腹膜后腹腔镜肾切除,然后对两组患者进行RBCC3bRR和RBC-ICR测定,比较两组治疗方法下术前、术后、术后1d和术后4d的RBC-C3bRR和RBC-ICR测定结果。结果:经过本院分组治疗之后,采用腹腔镜肾切除方法与开放性肾切除测定RBC-C3bRR和RBC-ICR数据在术中、术后1d、术后4d比较上存在着显著性差异,P<0.05,具有统计学意义。结论:腹膜后腹腔镜肾切除术对于红细胞损害小,值得临床的应用以及推广。
Objective: To study the immune response of retroperitoneal laparoscopic nephrectomy to erythrocytes. Methods: Thirty patients who underwent nephrectomy in our hospital from January 2012 to October 2013 were divided into control group and observation group. The control group was treated by open partial lumbar partial nephrectomy. Group were treated with retroperitoneal laparoscopic nephrectomy, and then RBCC3bRR and RBC-ICR were measured in two groups. The RBC-C3bRR and RBC-ICR were compared before and after operation, 1 day after operation and 4 days after operation result. Results: There were significant differences in RBC-C3bRR and RBC-ICR data between laparoscopic nephrectomy and open nephrectomy at 1, 4 and 6 days postoperatively, P < 0.05, with statistical significance. Conclusion: Retroperitoneal laparoscopic nephrectomy for erythrocyte damage is small, worthy of clinical application and promotion.