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目的:研究后腹腔镜泌尿系统手术后血清淀粉酶的变化,分析其变化原因。方法:观察36例后腹腔镜手术患者,术前及术后血清淀粉酶的变化。手术部位为腹膜后位器官如肾上腺、肾、输尿管上段。其中男25例,女11例,左侧23例,右侧13例。结果:所有病例术前血清淀粉酶均正常,7例(男5例,女2例)术后血清淀粉酶升高,升高幅度为0.9~291.7U/L,均发生在左侧后腹腔镜手术术后。所有淀粉酶升高患者均未出现胰腺炎临床表现,未经特殊处理,术后3天血清淀粉酶均恢复正常。结论:左侧后腹腔镜手术后可能出现血清淀粉酶一过性增高,增高幅度<300U/L时不需特殊处理。
Objective: To study the changes of serum amylase after laparoscopic urinary system surgery and analyze its causes. Methods: The changes of serum amylase in 36 patients undergoing laparoscopic surgery before and after operation were observed. Surgical site for the retroperitoneal organs such as the adrenal gland, kidney, upper ureter. There were 25 males and 11 females, 23 on the left and 13 on the right. Results: Serum amylase was normal in all cases before operation. Serum amylase increased in 7 cases (5 males and 2 females) after operation, ranging from 0.9 to 291.7 U / L, all of which occurred in the left posterior laparoscopic After surgery. All patients with elevated amylase did not appear in clinical manifestations of pancreatitis, without special treatment, three days after the serum amylase returned to normal. Conclusion: Serum amylase may appear transiently after left laparoscopic surgery without special treatment when the increase is <300U / L.