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目的:探讨后腹腔镜手术切除结核性无功能肾的安全性与疗效。方法:将36例结核性无功能肾患者,按手术方式分为后腹腔镜组和开放手术组,比较两组手术时间、术中出血量、术后住院时间、并发症等方面的差异。结果:后腹腔镜组手术中转开放手术2例,开放手术组手术均获成功;后腹腔镜组肠功能恢复时间平均2.10天,显著少于开放手术组2.79天(P<0.05);镇痛剂使用平均0.71次,显著少于开放手术组1.87次(P<0.05)。结论:后腹腔镜手术切除结核性无功能肾创伤小,恢复快,有学习曲线,安全可行。
Objective: To investigate the safety and efficacy of retroperitoneal laparoscopic resection of tuberculous non-functional kidney. Methods: Thirty-six patients with tuberculous non-functional renal disease were divided into two groups according to the operation method: retroperitoneal laparoscopic group and open surgery group. The differences of operative time, intraoperative blood loss, postoperative hospital stay and complications were compared. Results: In the laparoscopic group, 2 cases underwent open surgery and 2 cases underwent open surgery. The recovery time of intestinal function in laparoscopic group was 2.10 days on average (P <0.05), significantly lower than that in open surgery group (P <0.05) The use of an average of 0.71 times, significantly less than the open surgery group 1.87 times (P <0.05). Conclusion: Retroperitoneal laparoscopic resection of tuberculous non-functional renal trauma is small, fast recovery, a learning curve, safe and feasible.