后腹腔镜下肾上腺全切和次全切治疗醛固酮瘤的疗效对比.docVIP

后腹腔镜下肾上腺全切和次全切治疗醛固酮瘤的疗效对比 曹洪豪 成都大学附属医院610000 【摘要】目的：探究后腹腔镜下肾上腺全切和次全切治疗醛固酮瘤的疗效对 比。方法：选取2012年6月至2015年12月于我院接受腹腔镜手术的53例单侧 肾上腺醛固酮腺瘤患者为临床样木，其中29例患者行腹腔镜单侧肾上腺全切术, 24例患者行腹腔镜肾上腺次全切除术，回顾性分析53例患者的围手术期的临床 资料，并随访其术后恢复情况以及有无复情况等。结果：53例手术全部获得成 功。两组在手术之间、术中出血、引流管留置时间、术后住院时间方面无显著差 别(Pgt;0.05)。全切组29例患者中有22例血压恢复正常，6例血压改善，1 例血压治疗无效；次全切组24例患者中有19例血压恢复正常，4例血压改善， 1例血压治疗无效。全切除组无患者复发，次全切除组有1例复发。结论：对于 单侧醛固酮腺瘤患者，推荐采用腹腔镜单侧肾上腺全切除。 【关键词】腹腔镜；醛固酮瘤；肾上腺全切除；肾上腺次全切；疗效对比 Abstract： Objective: to explore the laparoscopic adrenal full cut and full cut after treatment the curative effect of aldosterone adenoma. Methods: Choose between June 2012 and December 2015 in our hospital laparoscopic surgery of 53 patients with unilateral adrenal adenoma aldosterone for clinical samples, 29 cases of patients with unilateral laparoscopic adrenal gland completely cut method, 24 cases of patients with laparoscopic adrenal gland total resection, were retrospectively analyzed the clinical data of 53 patients perioperative, and postoperative follow-up recovery and presence of complex situation, etc. Results: all 53 cases of surgical success. Between two groups during surgery, intraoperative bleeding, drainage tube indwelling time, postoperative hospitalization time has no significant difference (P gt; 0.05).The complete set of 29 cases with 22 cases of blood pressure returned to normal, 6 cases of blood pressure improved, 1 case of blood pressure treatment is invalid; Time the complete group of 24 cases with 19 cases of blood pressure returned to normal, 4 cases improved blood pressure, 1 cases of blood pressure treatment is invalid. Total excision of the group of patients with no recurrence, subtotal resection in times group and 1 case of recurrence. Conclusion: for patients with unilateral aldosterone adenoma, recommend using laparoscopic total excision of the unilateral adrenal gland. key words： laparoscopic; Aldosterone adenoma; Total excision of the adrenal gland; All adrenal time slice; Effect of contrast 原发性醛固酮增多症