3D 腹腔镜与2D 腹腔镜在肾部分切除术中的临床对比研究

摘要

Objective Investigate the application value of 3D in laparoscopic partial nephrectomy. Method Collect 82 cases of patients with partial nephrectomy in our hospital from October 2013 to March as the research object, 44 patients were selected for the control group, with the use of 2D laparoscopic techniques for the removal of the kidney.The remaining 38 patients were selected for the 3 D laparoscopic technique for the partial nephrectomy.The operation time, bleeding volume, postoperative complication rate, hospitalization time of the two groups were analyzed and compared.Results The operation time of the experimental group was (90.12+11.32) min, the bleeding volume was (70.32+15.67) mL, the postoperative complication rate was 3.2%, and the length of hospital stay was (6.5+2.5) d, The operation time of the control group was (114.20+10.65) min, the amount of bleeding was (100.23+15.13) mL, the incidence of postoperative complications was 20.5%, the length of hospital stay was ( 7.0 +2.0 ) d.The operation time, bleeding volume, postoperative complication rate, hospitalization time of the experimental group were less than those of the control group.Conclusion Compared with 2D, 3D laparoscopic partial nephrectomy, the operation time is short, less bleeding, less postoperative complications, it is worthy of clinical promotion.%目的：探讨研究经3D腹腔镜对肾部分切除术的应用价值。方法收集曲靖市第一人民医院2013年10月—2015年3月泌尿外科实施肾部分切除术的患者82例作为研究对象，其中44例患者选择采用2D腹腔镜技术进行了肾部分切除，设为对照组；其余38例患者选择采用3D腹腔镜技术进行了肾部分切除，设为实验组。分析并比较两组手术时间、术中出血量、术后并发症发生率，术后住院时间。结果实验组的手术时间（90.12±11.32） min、术中出血量（70.32±15.67） mL、术后并发症发生率3.2％，术后住院时间（6.5±2.5） d；对照组手术时间（114.20±10.65） min、术中出血量（100.23±15.13） mL、术后并发症发生率20.5％，术后住院时间（7.0±2.0） d。实验组的手术时间、术中出血量、术后并发症发生率、术后住院时间均少于对照组。结论与2D腹腔镜相比，高清3D腹腔镜肾部分切除术，术野清晰，手术时间短，出血量少，术后并发症少，值得在临床推广。