探讨腹腔镜术对泌尿外科的临床疗效观察.docVIP

精品论文 参考文献 探讨腹腔镜术对泌尿外科的临床疗效观察 五常市小山子镇卫生院 150211 【摘 要】目的 研究分析泌尿外科疾病在采用腹腔镜治疗临床疗效观察。方法 此次研究的对象是选择2014年8月—2015年11月泌尿外科的118例患者，将其临床资料进行回顾性发内向，并依据数字表法随机抽取59例行腹腔镜手术治疗方案，另59例则行传统开腹手术治疗。分别观察两组患者的手术效果以及并发症的发生情况。结果 观察组患者的平均手术时间（45.3plusmn;3.4）min、术中出血量（46.8plusmn;6.9）ml以及住院时间（3.1plusmn;1.0）d明显低于对照组的（62.9plusmn;4.8）min、（75.4plusmn;7.3）ml、（6.5plusmn;1.7）d，差异有统计学意义（Plt;0.05）；观察组共发生6例（10.2%），对照组发生14例（23.7%），观察组明显优于对照组，差异有统计学意义（Plt;0.05）。结论 对泌尿外科行腹腔镜治疗的患者较传统开腹手术具有更好的治疗效果，可有效缩短疾病的治疗时间及康复时间，降低了并发症的发生率，临床意义显著。 　　【关键词】腹腔镜；泌尿外科；治疗效果 　　[Abstract] Objective To study the clinical effect of laparoscopic treatment of diseases in Department of urology. Method the study object is the choice in August 2014 - 2015 November Department of Urology of 118 patients，the clinical data were retrospectively hair inward，and according to the number table method randomly selected 59 cases of laparoscopic surgical treatment and the other 59 cases for traditional open surgery. The operation effect and complications of the two groups were observed respectively. Results in the observation group，the mean operative time（45.3 + 3.4）min，intraoperative blood loss（46.8 + 6.9）ml and hospitalization time（+ 3.1 1.0）d was significantly lower than that of control group（62.9 + 4.8）min，（75.4 + 7.3）ml，（6.5 + 1.7）d，the difference is statistically significant（P lt; 0.05）. The observation group there were 6 cases（10.2%）occurred in the control group，14 cases（23.7%），the observation group was significantly better than the control group，the difference is statistically significant（P lt; 0.05）. Conclusion of urologic laparoscopy in the treatment of patients than the traditional laparotomy has better treatment effect，can effectively shorten the disease treatment time and recovery time and reduce the incidence of complications and clinical significance of significant. [Key words] Laparoscopy；Department of Urology；therapeutic effect 在医疗技术的不断进步之下，腹腔镜技术也对临床诊断及治疗做出了较大的贡献。泌尿外科手术一般有前列腺癌根治术、膀胱全切术、肾上腺肿瘤切除术等，应用腹腔镜手术不仅具有更小的创口，还可减少患者