上尿路移行细胞癌临床诊治疗效观察.docVIP

上尿路移行细胞癌临床诊治疗效观察 　　[摘要] 目的 观察对上尿路移行细胞癌患者应用腹腔镜进行治疗的临床疗效。方法 回顾本院2009年10月~2010年12月，本科收治的60例上尿路移行细胞癌患者的临床资料，随机分为治疗组与对照组，每组患者30例。对照组30例患者应用开放性的肾输尿管切除术，治疗组30例患者经腹膜后镜、联合尿道电切镜行肾输尿管的切除术。对两组患者的术后恢复程度、相关并发症、临床的疗效以及治疗费用等进行对比分析。结果 治疗组患者其术中的出血量为（76.2±28.4） mL，在术后的（23.2±11.7） h患者肠功能基本恢复正常，在（23.2±11.6） h后能够下床进行活动，患者应用止痛药时间为（1.0±0.5） d，患者应用抗生素的时间为（2.0±1.1） d、患者在术后住院时间为（6.2±1.3） d，患者在（28.2±7.6） d后能够恢复正常的工作。各项指标均明显优于对照组患者，其差异具有统计学意义（P ＜ 0.05）。并且治疗组患者临床并发症均少于对照组。但对照组的手术时间短，而且手术费用和住院的总费用也低于治疗组，其差异具有统计学意义（P ＜ 0.01）。经随访1~3年，无肿瘤复发患者。 结论 经腹膜后镜、尿道电切镜行肾输尿管的切除术与开放性的肾输尿管切除术进行比较，临床疗效相当，但手术创伤小，患者痛苦少，在术后恢复较快，临床并发症少，但手术时间较长，治疗费用较高。 　　[关键词] 移行细胞癌；泌尿系肿瘤；肾输尿管切除术；腹腔镜 　　[中图分类号] R737.1 [文献标识码] A [文章编号] 1674-4721（2012）02（a）-0029-02 　　 　　The clinical efficacy to treat transitional cell carcinoma upper urinary tract 　　YANG Pinde 　　Department of Medical Oncology, Rehabilitation Hospital of Yongzhou in Hu′nan Province, Yongzhou 425000, China 　　[Abstract] Objective To observe the clinical efficacy of laparoscopic to treat transitional cell carcinoma upper urinary tract. Methods The clinical dates of 60 patients with transitional cell carcinoma upper urinary tract in our hospital from October 2009 to December 2010 were analysed retrospectively and randomly divided into the treatment group and control group, each group of 30 cases of patients. 30 patients in the control group were given the renal ureteral resection with openness, 30 patients of the treatment group were given by retroperitoneal mirror, joint urethral cutting lens line of renal ureteral. Postoperative recovery degree, related complications, the clinical curative effect and treatment costs and comparative in two groups were compared and analysed. Results In the treatment group, the amount of blood loss of patients was (76.2±28.4) mL, the bowel function was basically back to normal after postoperative for (23.2±11.7) hours, the time of conducting activities under the bed was after postoperative for (23.2±11.6) hours, the time of application