后腹腔镜技术在肾上腺肿瘤手术治疗临床应用.docVIP

后腹腔镜技术在肾上腺肿瘤手术治疗临床应用 　　【摘要】 目的 探讨后腹腔镜技术在治疗肾上腺肿瘤中的临床疗效。方法 32例接受后腹腔镜下肾上腺肿瘤切除术患者作为后腹腔镜组， 36例接受传统开放手术行肾上腺肿瘤切除术患者作为开放手术组， 分别对两组患者的手术及术后情况进行比较分析。结果 后腹腔镜组患者手术时间为（80.8±14.7）min、 　　术中出血量为（76.4±22.7）ml、术后住院时间为（5.03±1.42）d， 均少于开放手术组的（122.3±19.2）min、（138.9±18.5）ml、（8.69±2.01）d（P0.05）。后腹腔镜组平均疼痛评分（50.9±10.3）分低于开放手术组的（89.7±9.2）分， 生活质量评分（88.6±21.3）分高于开放手术组的（54.7±19.6）分， 差异均具有统计学意义（P0.05）。结论 后腹腔镜手术治疗肾上腺肿瘤具有创伤小、术后恢复快、住院时间短等优点， 安全有效， 可作为治疗肾上腺肿瘤的首选手术方式， 值得在临床上推广。 　　【关键词】 后腹腔镜；肾上腺肿瘤；临床疗效 　　DOI：10.14163/j.cnki.11-5547/r.2016.28.006 　　【Abstract】 Objective To investigate clinical effect by retroperitoneal laparoscopy in the treatment of adrenal tumor. Methods There were 32 patients receiving retroperitoneal laparoscopic adrenal tumor resection as retroperitoneal laparoscopy group and 36 patients receiving conventional open operation for adrenal tumor resection as open operation group. Comparison and analysis were made on operation situation and postoperative condition between the two groups. Results The retroperitoneal laparoscopy group had all less operation time as （80.8±14.7） min， intraoperative bleeding volume as （76.4±22.7） ml and postoperative hospital stay time as （5.03±1.42） d than （122.3±19.2） min， （138.9±18.5） ml， and （8.69±2.01） d of the open operation group （P0.05）. Mean pain score was lower as （50.9±10.3） points in the retroperitoneal laparoscopy group than （89.7±9.2） points in the open operation group. The retroperitoneal laparoscopy group also had higher quality of life score as （88.6±21.3） points than （54.7±19.6） points in the open operation group， and their differences all had statistical significance （P0.05）. Conclusion Retroperitoneal laparoscopy contains advantages of small trauma， quick postoperative recovery and short hospital stay time. Due to its safety and effectiveness， this method can be taken as the preferred operation method in treating adrenal tumor， and it is worth clinical promotion. 　　【Key words】 Retroperitoneal laparoscopy； Adrenal tumor； Clinical e