单层面与传统三层面分离法后腹腔镜肾上腺切除手术比较.pdfVIP

.2866. 中华实验外科杂志 2015 年 11 月第 32 卷第 11 期 Chin J Exp Su晤， November 2015 , Vol. 32 , No. 11 ·临床研究· 单层面与传统三层面分离法后腹腔镜 肾上腺切除手术比较 丁映辉黄珍林顾朝辉贾占奎李文波李兵兵杨锦建 [摘要] 目的 比较后腹腔镜单层面法与传统三层面法行肾上腺切除术的安全性和有效性。 方法 遵循随机对照原则，将 218 例肾上腺增生或肾上腺肿瘤需行肾上腺切除术患者分成两组，通 过统计分析手术时间、术中出血量等指标比较两种术式的安全性和有效性。结果 单层面分离法 与传统三层面分离法的手术时长分别为 (33 :!: 20) min 和 (42 :t 15) min ，差异有统计学意义 (P 0.05) ;两组术中出血量分别为(1 5 :1: 3) ml 和 (23 :1: 3) 时，差异有统计学意义 (P 0.0 1)。两组术后 住院时间、术后并发症出现例数、平均肿瘤或结节直径、术后留置引流管时间、术后留置尿管时间、 术后恢复进食时间比较差异均无统计学意义 (P 0.05) 。结论 单层面肾上腺分离法在肾上腺切 除术中是一种可行的分离方式，与传统气层面分离法比较缩短了手术时间、减少了术后出血量。 [关键词] 肾上腺切除术; 腹腔镜 Effect comprasion of single layer vs. traditional three - layer separation in retroperitoneoscopic adrenalectomy Ding Yinghui , Huang Zhenlin , Gu Chaohui , Jia Zhankui , Li Wenbo , Li Bingbing , Yang Jinjian. Depαrtment 0/ Urology , the A.t声 liated Hospital 0/ Zhengzhou University , Zhengzhou 450052 , China Corresponding author: yα， ng Jinjian , Email:546235996@ [ Abstract 1 Objective To study the single layer vs. traditional three -Iayer separation in retroper? itoneoscopic adrenalectomy for the treatment of adrenal tumor. Methods Following the randomized con? trolled experiment method , 218 patients with adrenal tumor were randomly divided into two groups. One group was subjected to retroperitoneoscopic adrenalectomy with single layer method , and one group was giv? en traditional three -Iayers seperation method. The body mass index (BMI) , operative time , the intraop? erative blood loss , the duration of the urethral catheter, the postoperative hospital stay and the postoperative complications were analyzed and compared between the two groups. ResuJts All of the operations were performed su