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肾周脂肪平均密度对腹腔镜肾部分切除术的影响

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文章导航 > 临床泌尿外科杂志 > 2019 > 34(12): 942-945
李霖, 潘秀武, 刘溪, 等. 肾周脂肪平均密度对腹腔镜肾部分切除术的影响[J]. 临床泌尿外科杂志, 2019, 34(12): 942-945. doi: 10.13201/j.issn.1001-1420.2019.12.003
引用本文: 李霖, 潘秀武, 刘溪, 等. 肾周脂肪平均密度对腹腔镜肾部分切除术的影响[J]. 临床泌尿外科杂志, 2019, 34(12): 942-945. doi: 10.13201/j.issn.1001-1420.2019.12.003
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LI Lin, PAN Xiuwu, LIU Xi, et al. Effect of perinephric fat density on laparoscopic partial nephrectomy[J]. J Clin Urol, 2019, 34(12): 942-945. doi: 10.13201/j.issn.1001-1420.2019.12.003
Citation: LI Lin, PAN Xiuwu, LIU Xi, et al. Effect of perinephric fat density on laparoscopic partial nephrectomy[J]. J Clin Urol, 2019, 34(12): 942-945. doi: 10.13201/j.issn.1001-1420.2019.12.003
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肾周脂肪平均密度对腹腔镜肾部分切除术的影响

    • 1. 第二军医大学第三附属医院泌尿外科(上海, 201805);

    • 2. 上海交通大学附属瑞金医院泌尿外科;

    • 3. 上海长征医院泌尿外科

  • 基金项目:

    上海市医学引导类（中、西医）科技支撑项目（编号17411960200）；上海市科学技术委员会优秀学术带头人计划（编号19XD1405100）；上海市“医苑新星”青年医学人才培养资助计划；孟超人才培养计划；浦东新区临床高峰学科（编号PWYgf2018-03）

详细信息
    通讯作者: 崔心刚,E-mail:xingangcui@126.com

  • 中图分类号: R737.11

Effect of perinephric fat density on laparoscopic partial nephrectomy

    • 1. Department of Urology, Third Affiliated Hospital, Second Military Medical University, Shanghai, 201805, China;

    • 2. Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine;

    • 3. Department of Urology, Shanghai Changzheng Hospital

More Information

    摘要
  • 目的：探讨肾周脂肪平均密度对腹腔镜肾部分切除术的影响。方法：回顾性分析2014年4月~2018年4月上海长征医院泌尿外科135例腹腔镜肾部分切除术患者。通过CT影像学资料对肾周脂肪平均密度进行计算，并将患者分为高密度组和低密度组，比较两组患者手术时间、BMI、术中出血、R.E.N.A.L、PAUDA评分及肾周脂肪平均密度等指标。结果：高密度组与低密度组手术时间比较差异有统计学意义（P<0.05），两组患者在BMI、术中出血量、肾周脂肪厚度（PD）等方面比较差异无统计学意义。结论：本研究发现MAP肾周脂肪评分无法准确地评估肾周脂肪含量，而肾周脂肪平均密度可作为肾周脂肪的评估指标。
    Objective: To explore the influence of perinephric fat density on laparoscopic partial nephrectomy. Method: We enrolled 135 patients who underwent laparoscopic partial nephrectomy from April 2014 to April 2018 in Changzheng Hospital retrospectively. The patients were divided into two groups according to the mean density CT hounsfield unit of perinephric fat density with high density and low density. The clinical characters were included operation time, BMI, estimated blood loss, R. E. N. A. L. score, PAUDA score and perinephric fat volume. Result: There was no statistical difference between high and low density group on BMI, perinephric fat volume or estimated blood loss. However, the operation time showed statistical difference.Conclusion: The study demonstrated that MAP score was unable to predict the difficulty of perinephric fat volume precisely. The mean perinephric fat density is an available indicator to assess the perinephric fat and predict the operation time.
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收稿日期:  2018-07-01

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