本文選題：三維 + 二維　； 參考：《中國(guó)內(nèi)鏡雜志》2015年12期

【摘要】：目的比較3D和2D高清腹腔鏡技術(shù)在腎臟切除術(shù)中的應(yīng)用效果。方法采用Storz 3D高清腹腔鏡技術(shù)完成腎臟切除術(shù)32例(觀察組),回顧性分析并與2013年1月-2013年12月采用Storz 2D高清腹腔鏡技術(shù)完成腎臟切除術(shù)37例(對(duì)照組),記錄手術(shù)時(shí)間、術(shù)中出血量、并發(fā)癥、術(shù)后引流量、術(shù)后拔除引流管時(shí)間、術(shù)后住院時(shí)間和住院費(fèi)用等,并進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果觀察組32例和對(duì)照組37例均順利完成手術(shù)。前后兩組手術(shù)時(shí)間為(124.41±52.90)和(149.00±33.68)min,術(shù)中出血量為(104.62±57.69)和(136.89±57.92)ml,組間比較差異均有統(tǒng)計(jì)學(xué)意義(P0.05);兩組術(shù)后引流量、術(shù)后拔除引流管時(shí)間、術(shù)后住院時(shí)間和住院總費(fèi)用分別為(65.59±76.95)和(83.78±76.38)ml、(2.78±1.18)和(3.43±1.66)d、(9.44±3.16)和(10.19±2.91)d、(20 954.31±1 745.10)和(20 635.65±1 376.92)元,組間比較差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)后兩組發(fā)生并發(fā)癥分別為2例和3例,經(jīng)保守治療均痊愈。術(shù)后隨訪2個(gè)月~2年,單側(cè)無功能腎患者生活正常,腫瘤患者無復(fù)發(fā)和轉(zhuǎn)移。結(jié)論 3D比2D高清腹腔鏡技術(shù)在腎臟切除術(shù)中的應(yīng)用立體感更強(qiáng),解剖層次更清晰,準(zhǔn)確性更好,降低手術(shù)的一定難度,更適合應(yīng)用于高難度手術(shù)。
[Abstract]:Objective to compare the effects of 3 D and 2 D high-definition laparoscopy in nephrectomy. Methods Storz 3D high-definition laparoscopic nephrectomy was performed in 32 patients (observation group, retrospective analysis and Storz 2D high-definition laparoscopy from January 2013 to December 2013). The amount of blood loss, complications, postoperative drainage, the time of extubation, the time of hospitalization and the cost of hospitalization were analyzed statistically. Results 32 cases in the observation group and 37 cases in the control group successfully completed the operation. The operative time of the two groups was 124.41 鹵52.90) and 149.00 鹵33.68 min, the amount of intraoperative bleeding was 104.62 鹵57.69) and 136.89 鹵57.92 ml, there was significant difference between the two groups (P 0.05). The postoperative hospitalization time and total hospitalization cost were 65.59 鹵76.95) and 83.78 鹵76.38 / ml (2.78 鹵1.18) and 3.43 鹵1.66 (9.44 鹵3.16) and 10.19 鹵2.91 (20 954.31 鹵1 745.10) and 20 635.65 鹵1 376.92), respectively. There was no significant difference between the two groups (P 0.05). Complications occurred in 2 cases and 3 cases in the two groups, which were cured by conservative treatment. Follow-up for 2 months to 2 years showed that the patients with unilateral nonfunctional kidney had normal life and no recurrence or metastasis. Conclusion 3D high-definition laparoscopy is more effective in the application of renal surgery than 2D high-definition laparoscopy, and the anatomical level is clearer, the accuracy is better, the difficulty of operation is reduced, and it is more suitable to be used in high-difficulty surgery.
【作者單位】： 廣西自治區(qū)玉林市紅十字會(huì)醫(yī)院;
【基金】：廣西壯族自治區(qū)衛(wèi)生廳自籌經(jīng)費(fèi)科研課題(No:Z2014529) 玉林市科學(xué)研究與技術(shù)計(jì)劃項(xiàng)目(No:玉科計(jì)字201426003)
【分類號(hào)】：R699.2

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