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目的:分析单肾肿瘤患者行后腹腔镜根治手术时影响健肾及时发挥代偿能力的因素。方法:选取行后腹腔镜单肾切除的患者52例,筛选出术后血Cr高于正常值上限的患者进行分析。患者的年龄、术前双肾GFR值、术前术后血Cr值及术后血Cr恢复正常所需时间作为分析要素。结果:共有9例患者术后血Cr高于正常值上限,均在5天之内自行恢复正常。结论:后腹腔镜手术对健肾功能存在影响。高龄、健肾GFR绝对值过小以及健肾GFR占总GFR比例过低是患者术后发生肾功能失代偿的危险因素。
OBJECTIVE: To analyze the factors that affect the renal function in compensatory kidney function in patients with single renal cell carcinoma undergoing laparoscopic radical operation. Methods: Fifty-two patients undergoing laparoscopic nephrectomy were enrolled, and the patients with post-operative blood Cr higher than the upper limit of normal value were selected for analysis. The patient’s age, preoperative renal GFR value, preoperative and postoperative blood Cr value and postoperative blood Cr recovery time required for the analysis of elements. Results: A total of 9 patients with postoperative blood Cr higher than the upper limit of normal within 5 days to return to normal. Conclusion: Retroperitoneal laparoscopic surgery has an effect on renal function. Elderly, kidney Kidney GFR absolute value is too small and kidney GFR GFR total GFR ratio is low risk of renal decompensation in patients with risk factors.