后腹腔镜手术切除结核性无功能肾与开放手术的临床比较.pdfVIP

· 9O2 · JournalofClii塑! !!!g：!!!! !!： !! ：!! 后腹腔镜手术切除结核性无功能肾 与开放手术的临床 比较 毕海。 侯小飞。 马潞林’ 黄毂 卢刽 田晓军 张树栋 [摘要] 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 2．1O天。显著少于开放手术组 2．79天(P0．05)I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。 [关键词] 肾结核；肾切除术；开放手术；后腹腔镜术 doi：10．3969／j．issn．1001—1420．2010．12．007 [中图分类号] R692 [文献标识码] A [文章编号] 1001·1420(2010)12-0902-04 ComparisonofRetroperitoneoscopicNephrectomywithOpen SurgeryforTuberculousNonfunctioningKidneys． HaiBI XiaofeiH0U LulinMA YiHUANG JianLU。 XiaojunTIAN ShudongZHANG’ (DepartmentofUrology，PekingUniversityThirdHospital，Beijing，100191，China) Abstract Obje1．tire：Weevaluateclinicalefficacyandsafetyofretroperitoneoscopicnephrectomyfortubercu· lousnonfunctioningkidneys．Methods：W eretrospectivelyinvestigated36casesoftuberculousnonfunctioningkid- neysinourhospitalThesepatientsweredividedintotwogroupsaccordingtooperativemethods：retroperitoneos— copyandopensurgery．W ecomparedretroperitoneosocpicnephrectomywithopennephrectomyinoperativetime， bloodloss。hospitalstay，complicationsandso o1-1．Results：Exceptfortwo conversionstoopen surgery，allthe other19caseswereperformedretroperitoneoscopicnephrectomysuccessfully．15casesofopennephrectomywere allsuccessfully．Meantimeofpostoperativerecoverofintestinalfunctionwassignificantlyshorterintheretroper- itoneosocpy (2．10d)thanintheopensurgerygroup (2．79d)(PO．05)．Meananalgesicrequirementfornarcot- icwasslightlylessintheretroperitoneoscopy (O．71)thanintheopensurgerygroup (1．87) (PO．05)．Condu- sions：Retroperitoneoscopicnephrectomyforrenaltuberculosishasadvantage