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目的研究肾肿瘤实施部分切除术的临床疗效。方法为焦作市第二人民医院收治的106例肾肿瘤患者实施肾部分切除术。将钳闭30min作为节点,<30min钳闭者计入A组,≥30min钳闭者计入B组。A组67例,B组39例。对比两组平均手术时间、平均失血量、住院时间以及术后10d及0.5年的肾小球滤过率。结果两组治疗前肾小球滤过率、手术时间、失血量及住院时间比较差异无统计学意义。A组术后10d及0.5年肾小球滤过率显著优于B组。两组术后10d肾小球滤过率显著低于治疗前,术后0.5年肾小球滤过率显著优于术后10d,A组治疗前与术后0.5年肾小球滤过率比较差异无统计学意义,B组术后0.5年肾小球滤过率显著低于治疗前。两组随访期间肿瘤均未复发。结论肾肿瘤实施部分切除术效果确切,但需控制肾脏血管夹闭时间以最大程度恢复肾功能。
Objective To study the clinical efficacy of partial resection of renal tumors. Methods Jiaozuo Second People’s Hospital admitted 106 cases of patients with renal tumors partial nephrectomy. Clutching 30min as a node, <30min Closure were included in the A group, ≥ 30min Closure were included in the B group. A group of 67 cases, B group 39 cases. The mean operative time, mean blood loss, length of hospital stay, and glomerular filtration rate at 10 days and 0.5 years after operation were compared. Results Before treatment, glomerular filtration rate, operation time, blood loss and length of stay in hospital had no significant difference. The glomerular filtration rate at 10 days and 0.5 years in group A was significantly better than that in group B. The glomerular filtration rate at 10 days after operation was significantly lower in both groups than before treatment, and the glomerular filtration rate at 0.5 year after operation was significantly better than that at 10 days after operation. The glomerular filtration rate before and after operation in group A was 0.5 years The difference was not statistically significant, group B 0.5 years after glomerular filtration rate was significantly lower than before treatment. Neither tumor recurred during the follow-up period. Conclusion The partial resection of renal tumors is effective, but the renal vascular occlusion time needs to be controlled to maximize renal function.