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目的探讨同侧二次腹腔镜手术治疗泌尿外科患者的临床疗效。方法选取2011年12月—2014年2月于泰和县万合镇卫生院行泌尿外科手术的患者50例,按照手术方式不同分为腹腔镜组(20例)与开放手术组(30例)。腹腔镜组患者予以同侧二次腹腔镜手术治疗,开放手术组患者予以传统开放手术治疗。观察两组患者手术时间、术中出血量、术后下床活动时间、住院时间、临床疗效及并发症发生情况。结果腹腔镜组患者手术时间、术后下床活动时间、住院时间短于开放手术组,术中出血量少于开放手术组,总有效率高于开放手术组,并发症发生率低于开放手术组,差异有统计学意义(P<0.05)。结论同侧二次腹腔镜手术治疗泌尿外科患者的临床疗效显著,可缩短患者的手术时间及住院时间,促进患者康复,减少术中出血量,且并发症少。
Objective To investigate the clinical effect of ipsilateral secondary laparoscopic surgery in urological patients. Methods Fifty patients undergoing urological surgery in Wanhe Town Health Center, Taihe County from December 2011 to February 2014 were selected and divided into laparoscopic group (n = 20) and open surgery group (n = 30) according to the operation method. Laparoscopic patients were treated with ipsilateral second laparoscopic surgery, open surgery group patients undergoing traditional open surgery. The operation time, intraoperative blood loss, postoperative ambulation time, hospital stay, clinical efficacy and complications were observed. Results The laparoscopic group had shorter operative time, shorter ambulation time and shorter hospital stay than those undergoing open surgery. The total amount of blood loss during laparoscopic surgery was lower than that of open surgery, and the total effective rate was lower than that of open surgery Group, the difference was statistically significant (P <0.05). Conclusion The ipsilateral secondary laparoscopic surgery for urological patients with significant clinical efficacy, can shorten the operation time and hospital stay, promote patient rehabilitation, reduce intraoperative blood loss, and fewer complications.