青海地区后腹腔镜手术与开放手术治疗体积较大肾上腺腺瘤的对比

发布时间：2018-09-15 05:49

【摘要】：目的通过观察较大肾上腺腺瘤(4cm)患者行后腹腔镜手术与开放手术的方法比较,探讨适宜的手术方式。方法选取2012~2016年期间于青海大学附属医院及青海省人民医院及就诊的符合诊断较大肾上腺腺瘤(4cm),包括肾上腺皮质醇腺瘤、嗜铬细胞瘤、醛固酮腺瘤以及髓质脂肪瘤患者,并行手术切除者57例,将入组的57例患者根据手术方案差异分为两组,A组为行后腹腔镜手术患者23例(其中2例中转开放未算在统计资料内),B组为行开放手术患者34例。对比分析两组的手术时间、术中出血量、术后负压管拔出时间以及术后住院时间。结果 A组在术后负压管拔出时间、术中出血量、手术时间及术后住院时间方面均优于B组,差异有统计学意义(P0.05)。结论应用后腹腔镜手术治疗较大肾上腺腺瘤可良好改善患者围术期状况,能够缩短手术时间,减少术中出血量,缩短术后负压引流管拔出时间及术后住院时间,促进预后恢复时间。后腹腔镜手术治疗肾上腺较大腺瘤(4cm)相对开放手术而言是一种更加安全、有效的微创手术方法。
[Abstract]:Objective to compare the methods of retroperitoneal laparoscopic surgery and open surgery in patients with large adrenal adenoma (4cm). Methods patients with large adrenal adenoma (4cm), including adrenocortisol adenoma, pheochromocytoma, aldosterone adenoma and medullary lipoma, were selected from Qinghai University affiliated Hospital and Qinghai Provincial people's Hospital from 2012 to 2016. According to the difference of operation plan, 57 patients were divided into two groups: group A (23 cases) undergoing retroperitoneal laparoscopic surgery (2 cases were not included in the statistical data) and group B (34 cases) underwent open surgery. The time of operation, the amount of blood lost during operation, the time of pulling out the negative pressure tube and the time of hospitalization after operation were compared between the two groups. Results the time of pulling out the negative pressure tube, the amount of blood lost during operation, the time of operation and the time of hospitalization after operation in group A were better than those in group B, and the difference was statistically significant (P0.05). Conclusion Laparoscopic surgery for large adrenal adenoma can improve the perioperative condition, shorten the operative time, reduce the amount of blood loss, shorten the time of pulling out the negative pressure drainage tube and the time of hospitalization after operation. Promote prognosis recovery time. Retroperitoneal laparoscopic surgery for adrenal adenoma (4cm) is a safer and more effective minimally invasive procedure than open surgery.
【作者单位】：青海大学附属医院泌尿外科;
【分类号】：R736.6

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