3D腹腔镜与传统腹腔镜技术治疗肾上腺肿瘤的疗效比较

发布时间：2018-04-29 19:51

本文选题：腹腔镜 + 肾上腺　；参考：《安徽医科大学》2015年硕士论文

【摘要】：目的比较3D腹腔镜与传统(2D)腹腔镜技术在肾上腺肿瘤手术的疗效。对术中指标和术后指标进行对比,针对两种手术模式就其不同之处进行探究。探讨3D腹腔镜在肾上腺肿瘤手术中的应用价值。方法2012年12月至2013年8月应用腹腔镜手术治疗肾上腺肿瘤55例。对行3D腹腔镜肾上腺手术患者30例(3D组)与同期行传统2D腹腔镜肾上腺手术患者25例(2D组)的手术时间、术中出血量、输血情况、术后引流量、术后住院天数、术后病理分布、住院费用进行比较。结果55例手术全部成功,手术时间55~125 min,其中3D腹腔镜组60±19min(55~125 min),2D腹腔镜组68±24min(60~120 min),发现这两组数据之间的差别有着明显的统计学意义(P0.05);术中出血量为10~150 ml,其中3D腹腔镜组25±14 ml(15~100 m1),2D腹腔镜组34±17 ml(20~90 m1),两组差别具有统计学意义(P0.05),所有手术病人均无输血。55例患者术后住院3~9天,其中3D腹腔镜组3~6天,2D腹腔镜组3~7天,差别无统计学意义(P0.05)。两组患者均未出现严重并发症。所承担的住院费用大约为19654±807.3元,另外2D腹腔镜组19593±823元,3D腹腔镜组19789±786元,两组差别不具备统计学意义。结论3D腹腔镜技术较传统2D腹腔镜技术在空间定位及深度感觉上有明显优势,一定程度上降低手术难度,缩短手术时间,同时不增加患者的经济负担,是一项值得推广的新技术。
[Abstract]:Objective to compare the effect of 3 D laparoscopy and 2 D laparoscopy in adrenal tumor surgery. Compare the intraoperative and postoperative indexes and explore the differences between the two modes. To evaluate the value of 3 D laparoscopy in adrenal tumor surgery. Methods from December 2012 to August 2013, 55 cases of adrenal tumors were treated with laparoscopic surgery. The operative time, intraoperative blood loss, blood transfusion, postoperative drainage, postoperative hospitalization, postoperative pathological distribution and postoperative pathological distribution of 30 patients undergoing 3D laparoscopic adrenal surgery and 25 patients undergoing traditional laparoscopic adrenal surgery were compared. The cost of hospitalization was compared. Results all the operations were successful. The operation time was 55 ~ 125 minutes, of which the 3D laparoscopic group was 60 卤19min(55~125 / min and the 2D laparoscopic group was 68 卤24min(60~120 / min. The difference between the two groups was statistically significant (P 0.05), and the intraoperative bleeding was 10150ml, including 25 卤14 ml(15~100 / ml 2D laparoscopy group (34 卤17 ml(20~90 ml), and the two groups were divided into two groups: the 3D laparoscopic group (25 卤14 ml(15~100 / ml) and the 2D laparoscopic group (34 卤17 ml(20~90 / ml). The difference between the two groups was statistically significant (P 0.05). No blood transfusion was found in all the patients. 55 patients were hospitalized for 3 to 9 days after operation. There was no significant difference between 3D laparoscopic group and 2D laparoscope group (P 0.05). There were no serious complications in both groups. The cost of hospitalization was about 19654 卤807.3 yuan and that of 2D laparoscopy group was 19593 卤823 yuan and that of 3D laparoscopy group was 19789 卤786.There was no significant difference between the two groups. Conclusion 3D laparoscopy has obvious advantages over traditional 2D laparoscopy in space location and depth feeling. It can reduce the difficulty of operation and shorten the operation time to some extent, and at the same time, it does not increase the economic burden of patients. It is a new technology worth popularizing.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R736.6

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