腹腔镜与开放根治性膀胱切除术中失血量的比较.pdfVIP

· 338 · JOURNALOFBASICANDCLINICALONCOLOGYVo1．26No．4Aug．2013 腹腔镜与开放根治性 膀胱切除术中失血量的比较 邓龙君 (沙雅县人民医院外科，新疆 沙雅 842200) [摘要] 目的 比较分析腹腔镜与开放根治性膀胱切除术中失血量和围手术期输血的情况。方法 82例 膀胱癌患者中，43例行腹腔镜根治性膀胱切除术(腔镜组)，39例行开放根治性膀胱切除术(开放组)，对2 组的失血量 、围手术期输血量进行比较。结果 腔镜组失血量平均 (247．94-117．9)mL，开放组失血量为 (812．8±580．9)mL，差异有统计学意义(P0．05)。腔镜组输血率为 11．6％，开放组为76．9％，差异有统 计学意义(P0．05)。腔镜组输血量为(200-4150)mL，开放组为 (700-4300)mL，差异有统计学意义 (P 0．05)。结论 腹腔镜根治性膀胱切除术中失血量明显少于开放手术 ，减少了围手术期输血的需要。 [关键词]腹腔镜 ；失血量；根治性膀胱切除术 DOI：10．3969／j．issn．1673-5412．2013．04．022 [中图分类号]R737．14；R730．56 [文献标识码]A [文章编号]1673—5412(2013)04—0338—03 IntraOperatiVeBloodLossforLaparoscopic RadicalCystectomy：acomparisonwithOpenApproach DengLon~un (DepartmentofSurgery，ShayaCoumyPeople’sHospital，Shaya842200，China) [Abstract]Objective Tocompareintraoperativebloodlossandtransfusionrequirementsinpatientsundergoing laparoscopicradicalcystectomyversusopenradicalcystectomy．M ethods Eighty—twopatientswithbladdercarcino— maweredividedintotwogroups，43patientsunderwentlaparoscopicradical cystectomyand39patientsundewr ent openradicalcystectomy．Theintraoperativebloodlossandtransfusionrequirementswerecompared．Results Com— paredwiththeopenradicalcystectomygroup，thelaparoscopicradicalcystectomygrouphadsignificantlylessintrao- perativebloodloss[(247．9-4l17．9)mLVS(812．8-4580．9)mL，P0．05]．Thetransfusionratewasl1．6％in thelaparoscopicradicalcystectomygroup，andwas79．4％ intheopenradicalcystectomygroup (P0．05)．The transfusionvolumewas(200-4150)mLinthelaparoscopicradicalcystectomygroup，andwas(700-4300)mLin theopenra