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目的探讨后腹腔镜保留肾脏手术治疗肾肿瘤患者的临床疗效。方法选取2013年1月至2014年6月肇庆市高要人民医院收治的54例肾肿瘤患者资料,按随机数字表法将其分为对照组和观察组,各27例。对照组患者行开放手术治疗,观察组患者采用后腹腔镜保留肾脏手术治疗,比较两组患者术中出血量、手术时间、住院时间及治疗费用。结果观察组患者术中出血量明显少于对照组,手术时间及住院时间均明显短于对照组,差异均有统计学意义(均P<0.05);观察组患者的麻醉费用、手术费用、住院费用均明显高于对照组,差异均有统计学意义(均P<0.05)。结论后腹腔镜保留肾脏手术操作方便,可减少患者住院时间,提高预后质量,其手术治疗费用虽然较高,却是较为理想的治疗手段。
Objective To investigate the clinical efficacy of retroperitoneal laparoscopic nephrectomy in the treatment of renal tumors. METHODS: From January 2013 to June 2014, 54 cases of renal cancer patients admitted to Gaoyao People’s Hospital of Zhaoqing City were selected and divided into control group and observation group according to random number table method, with 27 cases in each group. The patients in the control group underwent open surgery. The patients in the observation group were treated with retroperitoneal laparoscopic surgery. The blood loss, operation time, hospitalization time and treatment cost were compared between the two groups. Results The bleeding volume in the observation group was significantly less than that in the control group, and the operation time and hospitalization time were significantly shorter than those in the control group (all P <0.05). The anesthesia cost, operation cost, hospitalization Costs were significantly higher than the control group, the differences were statistically significant (P <0.05). Conclusions Retroperitoneal laparoscopic surgery to retain the kidney is convenient, which can reduce the hospitalization time and improve the quality of prognosis. Although the cost of surgical treatment is relatively high, it is an ideal treatment.