关键节点精准控制模式在机器人辅助腹腔镜根治性膀胱切除术后的应用效果

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中图分类号 R473.6R737.14文献标识码A文章编号 2096-7721（2025）06-1046-05

Application effect of key node precision control model after robotassisted laparoscopic radical cystectomy

LUO Likun， YANG Yang，LI Li （OperationRoom，theFirstAfiliated Hospitalof XinjiangMedical University， Urumqi 83oo54，China）

AbstractObjective：Toxploreeinterventiofctoftekydeprecisioontrolodelafterobotasistedlapaosicadical cystectomy （RARC）.Methods：18patientswhouderwentRARCatheFirstAfitedHospitalof Xinjiang Medical Univesityfrom January 2022 to January 2O23 were selectedanddividedintothecontrol group（using conventional postoperative intervention， n =54） and thprecisioncontrolgroup（using hekeynodeprecisioncontrolmodelinterventionasedontheconventioalpostoperativeinterention， （204号 n=54 ）usingtherandomumbertablemethod.Theinterventionswerecontinuedinthetwogroupsofpatientsuntildischarge.Postoperative recoveryndicators，painlevels，iflammatoryarkers，utritionalidicators，andcomplicationratesrecompaedetweentheo groups.Results：Tetietofisambulation，tietofistfatus，timtofstdfecatiourationofgastrictuberetentioadlegthof hospital stay of patients in the precision control group were shorter than those of the control group （ P <0.05）. At 5 d and 7 d postoperatively， pain levels inboth groups were lower thanthose1dayaftersurgery，with lower pain level intheprecisioncontrolgroup（ P <0.05）. Inflammation levels were higher than preoperative elevation in both groups at 7d postoperatively （ P <0.05），but the difference between the two groups was not statistically significant （P>0.05 ）.At discharge， nutritional levels decreased in both groups compared with those before surgery，ut，tsfeiinutotaloteidabnelsrerieisionooouo in the control group （P<0.05） .Diffrence in the total incidence of postoperative complications between the two groups was not statistically significant （ P>0.05 ）. Conclusion：The key node precisioncontrol model showed favorable clinical efect in post-RARC care， which can accelerate postoperative recovery and improve nutritional status.

ey WordsKey Node Precision Control; Robot-assisted Surgery; Laparoscopic Radical Cystectomy

膀胱癌作为常见的泌尿系统恶性肿瘤[，治疗方式逐渐从传统开放手术转向微创手术，其中机器人辅助腹腔镜根治性膀胱切除术（Robot-assistedRadicalCystectomy，RARC）因创伤小、恢复快等优势，已经成为一种重要的治疗手段[2-3]，且在泌尿外科中应用广泛[4。（剩余7435字）