比较后腹腔镜下节段性与全肾动脉阻断肾部分切除术对术后患侧肾功能影响-外科学(泌外)专业论文.docxVIP

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比较后腹腔镜下节段性与全肾动脉阻断肾部分切除术对术后患侧肾功能影响-外科学(泌外)专业论文.docx

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比较后腹腔镜下节段性与全肾动脉阻断肾部分切除术对术后患侧肾功能影响-外科学(泌外)专业论文

万方数据万方数据 The study about the effect on postoperative side kidney function by comparing of laparoscopic segmental and non segmental renal artery block partial nephrectomy Major:Urology Postgraduate: Yang Hao Supervisor: Chen Fang min [Abstract] Objective Comparing of laparoscopic nephron-reserved partial nephrectomy with the segmental renal artery blocking partial nephrectomy (SRPN) with common laparoscopic partial nephrectomy (LPN) in effect on postoperative affected side kidney function. Methods Retrospectively collecting of 80 cases of patients with renal localised tumor from June 2010 to June 2012, 35 cases recieved SRPN, another 45 patients recieved LPN. Preoperative renal dynamic imaging and GFR, withbilateral GFR values were measured. All postoperative data were followed up by telephone per3-6month, which included reviewing of GFR and renal dynamic imaging, monitoring postoperative changes of bilateral GFR, and were statistical analysed.. Results After operative 3,6 months, affected side postoperative GFR comparing with preoperative GFR in SRPN were found falling in 2 of 35 cases (5.71%), 3 of 35 (8.57%) respectively, and the declining GFR value were average 0.36 ? 0.22, 3.96?1.45 ml/min respectively(P0.05). However, that of LPN 45 cases were found in 35 of 45 cases (77.8%), 42 of 45cases (84.4%) falling respectively, the declining average GFR value with 6.28 ? 0.82, 11.47? 3.22 ml/min respectively (P≤ 0.05), the rate and value of falling of affected side postoperative GFR in SRPN group vs LPN group were diferrence significantly (P≤ 0.05). Follwing up in postoperative 12, 18, 24months, affected side GFR value were compared with preoperative in SRPN, GFR declining in 31.4% (11/35), 42.8% (15/35), 45.7% (16/35) respectively, falling average GRF value with 8.52±2.16, 11.02±2.23、13.55±2.68 ml/min respectively . In LPN, postoperative affected side GFR declining 86.67%（39/45）、88.89%（40/45）、 93.33%(42/45) respectively, average GFR value falling with 12.68±3.84 ）、 17