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
投稿时间:2016-07-23  修订日期:2016-08-28  点此下载全文
引用本文:谢辉,王健.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[J].医学研究杂志,2017,46(3):134-137
DOI: 10.11969/j.issn.1673-548X.2017.03.033
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作者单位E-mail
谢辉 810001 西宁, 青海大学附属医院泌尿外科 510595130@qq.com 
王健 810001 西宁, 青海大学附属医院泌尿外科  
中文摘要: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(P<0.05)。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。
中文关键词:肾上腺腺瘤  后腹腔镜手术  开放手术  高海拔地区
 
Comparison between Laparoscopic Surgery and Open Surgery for Patients with Bigger Adrenal Adenoma in Qinghai
Abstract:Objective To compare effects between the laparoscopic surgery and open surgery for the bigger adrenal adenoma(>4cm) patients in Qinghai. Methods Altogether 57 cases of bigger adrenal adenoma patients(>4cm)in the affiliated hospital of Qinghai university and Qinghai People's Hospital from 2012 to 2016 were selected and divided into two groups (A and B) according to surgical programs difference. Group A (23 cases)were given laparoscopic surgery and Group B (34 cases)were given open surgery (And 2 cases in group A turned into open surgery were out of statistics). The operative time, blood loss, hospital stay and drainage tube removal time were compared. Results The operative time, blood loss, hospital stay and drainage tube removal time in Group A were significantly better than those in Group B, with statistical significance (P<0.05). Conclusion The use of laparoscopic surgery for the bigger adrenal adenoma(>4cm) patients is safer and more effective than open surgery.
keywords:Adrenal adenoma  Laparoscopic surgery  Open surgery  High altitude region
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