腹腔镜肾上腺切术与开放肾上腺切除术的疗效比较.pdf

摘 要 腹腔镜肾上腺切除术与开放肾上腺 切除术的疗效比较 研究生：赵 俊 导师：汪 清教授 摘 要 目的：评价腹腔镜肾上腺切除术的临床效果。方法:肾上腺切除术 170 例,其中 行腹腔镜肾上腺切除术(LA)122例,开放性肾上腺切除术(OA)48例。对两组的临床疗 效、术后恢复及并发症等进行对比研究。结果：腹腔镜组在平均手术时间 （118.25±46.59min ）；平均术中失血（95.43 ±28.25ml ），术后平均进流质时间 （34.83±17.88h ），术后应用静脉抗生素平均天数（2.97 ±1.03d）；术后留置导尿管时 间 （1.36±0.79d ）；术后平均留置引流管时间 （1.84±1.29d）；术后平均住院天数 （4.72 ±1.89d）等方面均明显优于开放组,差异有显著性意义(P0.01)。结论：腹腔镜肾上 腺切除术与开放手术相比,疗效相当, 在术中出血、术后胃肠功能恢复、术后住院天 数、并发症发生率方面优于开放手术，具有创伤小、出血少、恢复快等优点，可作 为肾上腺疾病的首选治疗方法。B 超和 CT 是诊断肾上腺结节性增生的主要方法,肾 上腺结节性增生与腺瘤的鉴别诊断十分重要，腹腔镜手术是主要的治疗手段。 关键词： 腹腔镜 手术 肾上腺 嗜铬细胞瘤 肾上腺增生 1 新疆医科大学医学硕士学位论文 A comparative study of laparoscopic and open adrenalectomy Postgraduate: Jun Zhao Supervisor: Prof. Qing Wang Abstract Objective: To compare the clinical outcomes of laparoscopic adrenalectomy with open surgical adrenalectomy. Methods: A total of 170 patients were included. Laparoscopic adrenalectomy were performed in 122 cases (Group LA) and open surgical adrenalectomy were performed in 48 cases (Group OA). The therapeutic effectives, postoperative recovery and complications were compared between Group LA and Group OA. Results: The analysis showed that the mean operative time was (118.25±46.59 minutes) ；mean estimated blood loss was (95.43±28.25 ml) ；Time to oral liquids was (32.73±17.88 h); Time of inreavenous antibiotic was (2.97±1.03 d); Time to indwelling urinary catheter was (1.36±0.79 d); Time of drainage was (1.84±1.29 d); Time of postoperative hospital was (4.72±1.89 d)were significantly superior to those with Group OA(P0.01); Conclusions: