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腹股沟切口在后腹腔镜上尿路尿路上皮肿瘤根治术运用中的临床实用性分析
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- Author:
- No author available
- Journal Title:
- China Clinical Practical Medicine
- Issue:
- 4
- DOI:
- 10.3760/cma.j.issn.1673-8799.2017.04.013
- Key Word:
- 尿路上皮肿瘤;腹股沟切口;腹膜后间隙;腹腔镜;腰部切口
Abstract： 目的 探讨腹股沟切口在后腹腔镜上尿路尿路上皮肿瘤根治术中的临床实用性.方法 选取东营市第二人民医院泌尿外科收治的80例行后腹腔镜肾输尿管及膀胱袖状切除术的尿路上皮肿瘤患者,对其病例资料进行回顾性分析,并根据标本取出切口的不同分为腹股沟切口组及腰部切口组,采用χ2检验及t检验对两组患者的临床疗效进行比较.结果 所有患者均顺利完成手术,术后均未出现严重并发症,两组患者手术时间、术中出血量、临床分期和病理分级方面比较,差异均无统计学意义(P>0.05).腹股沟切口组术后切口并发症的发生率明显低于腰部切口组,差异有统计学意义(P<0.05);切口满意度优于腰部切口组,差异有统计学意义(P=0.000);输尿管中下段肿瘤复发率亦较腰部切口复发率低,差异有统计学意义(P=0.003).结论 后腹腔镜上尿路尿路上皮肿瘤根治术选择腹股沟切口安全有效,具有创伤小、切口相对美观及术后并发症少等优点,值得临床选择.
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