论文部分内容阅读
目的比较腹腔镜肾癌根治术(laparoscopic radical nephrectomy,LRN)与开放肾癌根治术(open radical nephrectomy,ORN)的临床效果。方法选择2010年1月—2013年1月收治的肾癌(renal carcinoma,RC)患者50例,随机分为观察组28例和对照组22例,观察组采用LRN,对照组采用ORN,比较两组围术期相关指标及并发症情况。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果手术时间、术中出血量、手术切口长度、恢复进食时间、下床活动时间、住院时间观察组分别为(98.6±10.2)min、(52.3±15.4)ml、(8.7±2.5)cm、(33.5±11.5)、(31.3±13.2)h、(5.3±1.3)d,对照组分别为(121.4±4.6)min、(195.2±26.9)ml、(15.2±1.4)cm、(69.5±14.5)、(74.5±17.6)h、(9.1±1.7)d,两组比较差异均有统计学意义(t=9.721、23.645、10.910、9.796、9.922、8.962,均P<0.05)。发生并发症观察组1例,占3.57%;对照组7例,占31.82%。两组比较差异有统计学意义(χ2=5.363,P<0.05)。结论 LRN治疗RC疗效显著,且并发症少,值得临床推广。
Objective To compare the clinical effects of laparoscopic radical nephrectomy (LRN) and open radical nephrectomy (ORN). Methods Fifty patients with renal carcinoma (RC) admitted from January 2010 to January 2013 were randomly divided into observation group (n = 28) and control group (n = 22). The observation group was treated with LRN and the control group with ORN. Group perioperative related indicators and complications. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results The operation time, intraoperative blood loss, surgical incision length, recovery feeding time, ambulation time and hospital stay were (98.6 ± 10.2) min, (52.3 ± 15.4) ml, (8.7 ± 2.5) cm and 33.5 ± 11.5, 31.3 ± 13.2 h and 5.3 ± 1.3 d respectively, while the control group were (121.4 ± 4.6) min, (195.2 ± 26.9) ml, (15.2 ± 1.4) cm and (69.5 ± 14.5) (74.5 ± 17.6) h, (9.1 ± 1.7) d respectively. The differences between the two groups were statistically significant (t = 9.721,23.645,10.910,9.796,9.922,8.962, all P <0.05). Complications occurred in 1 case of observation group, accounting for 3.57%; control group, 7 cases, accounting for 31.82%. The difference between the two groups was statistically significant (χ2 = 5.363, P <0.05). Conclusion LRN treatment of RC significant effect, and fewer complications, is worth clinical promotion.