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目的:评价内镜辅助下小切口术式的临床应用效果。方法:对42例患者行内镜辅助下小切口手术,其中根治性肾切除2例,单纯性肾切除3例(结核肾,无功能肾),盂管成形术3例,肾盂输尿管切开取石术2例,肾囊肿去顶减压术17例,肾上腺肿瘤切除15例。18例肾上腺肿瘤行腹腔镜手术。结果:根治性肾切除或单纯性肾切除手术时间平均120 min,术中出血量约100 ml;盂管成形术、肾盂或输尿管切开取石术,术中出血量约50-80 ml; 肾囊肿去顶减压术手术时间平均30-60 min,肾上腺肿瘤切除手术时间平均110 min,术中出血量约50-80 ml。内镜辅助下小切口泌尿外科手术术中出血量、术后住院时间、手术切口长度与腹腔镜组比较差异无统计学意义;在手术时间和住院费用方面则优于腹腔镜组,差异有统计学意义。结论:内镜辅助下小切口泌尿外科手术具有创伤小、价格低、无需专门没备及人员培训的特点,易于推广普及,为泌尿外科微创手术提供了新方式。
Objective: To evaluate the clinical effect of endoscopic small incision. Methods: Twenty-four patients underwent endoscopic small incision surgery. Among them, radical nephrectomy was performed in 2 cases, simple nephrectomy in 3 cases (tuberculous kidney and nonfunctional kidney), cisteroplasty in 3 cases, ureteropelvic lithotomy Surgery in 2 cases, renal cyst decompression in 17 cases, 15 cases of adrenal tumor resection. 18 cases of adrenal tumors underwent laparoscopic surgery. Results: The average time of radical nephrectomy or simple nephrectomy was 120 min and the intraoperative blood loss was about 100 ml. The operation of pelvisoplasty, renal pelvis or ureterolithotomy was performed with a blood loss of about 50-80 ml. Renal cysts Go to decompression surgery an average of 30-60 min operation time, adrenalectomy surgery average 110 min, intraoperative blood loss of about 50-80 ml. Endoscopic assisted small incision urological surgery bleeding, postoperative length of hospital stay, surgical incision length and laparoscopic group was no significant difference; in terms of operation time and hospital cost is superior to laparoscopic group, the difference was statistically significant Significance of learning. Conclusion: Endoscopic assisted small incision urological surgery with less trauma, lower prices, without special equipment and personnel training features, easy to promote the popularity of minimally invasive surgery for urology provides a new way.