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目的对比经腰肾癌根治术和经腹肾癌根治术的临床治疗效果。方法选取我院2009年3月至2012年5月间进行肾癌根治手术的患者36例进行回顾性分析,对比两种手术治疗肾癌的效果。结果两组患者均顺利完成手术,在手术时间、术中出血量、术后下床活动时间、拔除引流管时间、术后住院时间、并发症发生率方面差异均较小,不具有统计学意义(P>0.05),术后并发症主要以切口感染、肺部感染、脾肝胰脏等临近脏器损伤为主。结论根治手术路径的选择要根据患者肾癌直径及分布情况,有否侵犯邻近组织酌情选择,以达到最好的手术治疗效果,提升患者存活率。
Objective To compare the clinical effects of radical surgery of the lumbar carcinoma and transabdominal radical nephrectomy. Methods Thirty-six patients with radical nephrectomy in our hospital from March 2009 to May 2012 were retrospectively analyzed to compare the effects of two kinds of surgery on renal cell carcinoma. Results The two groups of patients completed the operation successfully. There was no significant difference in the operation time, blood loss, postoperative ambulation time, drainage tube removal time, postoperative hospital stay, complication rate (P> 0.05). The main complications were incision infection, pulmonary infection, splenomegaly and pancreas and other nearby organs. Conclusion The choice of radical surgical approach should be based on the diameter and distribution of renal cell carcinoma patients, whether the invasion of adjacent tissue discretion, in order to achieve the best surgical treatment and improve patient survival.