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目的比较后腹腔镜肾部分切除术(LPN)与开放肾部分切除术(OPN)治疗肾肿瘤患者的有效性与安全性。方法选取2013年2月至2016年3月博罗县人民医院收治的肾肿瘤患者65例为研究对象,按随机数字表法分为LPN组(32例)和OPN组(33例),比较两组患者围术期相关指标。结果两组患者手术时间、引流管拔除时间、术中出血量比较,差异均无统计学意义(均P>0.05);LPN组患者镇痛药使用量、肠道恢复时间、住院时间均少于OPN组,差异均有统计学意义(均P<0.05);LPN组患者并发症发生率为3.1%,OPN组为12.1%,差异有统计学意义(P<0.05)。结论行肾部分切除术的肾肿瘤患者采用LPN治疗术后恢复更快,疼痛更轻。
Objective To compare the effectiveness and safety of retroperitoneal laparoscopic partial nephrectomy (LPN) and open partial nephrectomy (OPN) in the treatment of renal tumors. Methods Sixty-five patients with renal tumors who were admitted to Boluo People’s Hospital from February 2013 to March 2016 were selected and divided into LPN group (n = 32) and OPN group (n = 33) according to random number table. Perioperative group of patients related indicators. Results There was no significant difference between the two groups in the operation time, the drainage time of the drainage tube and the blood loss during the operation (all P> 0.05). The use of analgesics, intestinal recovery time and hospital stay in LPN group were all less than OPN group (all P <0.05). The incidence of complications in LPN group was 3.1% and in OPN group was 12.1%, the difference was statistically significant (P <0.05). Conclusion Renal tumor patients undergoing partial nephrectomy with LPN can recover faster and have less pain after operation.