Analysis of the operation correlative factors of postoperative chronic lumbar discomfort of renal parenchyma tumors
10.12025/j.issn.1008-6358.2016.20160542
- VernacularTitle:肾实质肿瘤术后腰部切口长期不适的手术相关因素分析
- Author:
Zu-Quan XIONG
1
;
Yang YU
;
Chen-Chen FENG
;
Qiang DING
;
Zu-Jun FANG
;
Jie ZHENG
Author Information
1. 复旦大学附属华山医院泌尿外科
- Keywords:
renal tumors;
laparoscopic surgery;
radical nephrectomy;
partial nephrectomy;
chronic pain
- From:
Chinese Journal of Clinical Medicine
2016;23(4):466-469
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the factors involved in the postoperative lumbar discomfort of renal parenchyma tumors ,to make improvements in nowadays treatment to enhance the patients’ quality of life .Methods:The clinical and following‐up data of renal parenchyma tumor patients ,who had operations through lumbar approach from January 1st 2012 to December 31th 2014 ,were collected .Multiple factor logistic regression analysis had been used to investigate the influencing factors of lumbar wound discomfort .Results:The chronic postoperative discomforts were the chronic pain ,numbness and pruritus in weather variations .Compared to the laparoscopic operation ,open operation was more easily lead to the long‐term discomfort of the incision (P=0 .013) .The longer the operation time ,the higher the possibility of long‐term wound discomfort (P=0 .007) .Females ,instead of males ,were more likely to have complaints of long‐term wound discomfort (P=0 .017) . Conclusions:Laparoscopic surgery could help reduce the long‐term postoperative discomfort . Females , instead of males , should be concerned about the incision in the long‐term recovery process ,and provide them with targeted treatment and g uidance .