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目的:探讨传统开放术式与微创后腹腔镜术式治疗肾上腺良性肿瘤近远期疗效及安全性的差异。方法:研究对象选取我院2012年1月~2015年5月收治肾上腺良性肿瘤患者共130例,采用随机区组法分为开放组(65例)和微创组(65例),分别采用传统开放术式与微创后腹腔镜术式治疗;比较两组患者围手术期临床指标、症状改善率及围手术期并发症发生率等。结果:微创组患者手术时间、术中出血量、术后首次排气时间、术后引流量、术后拔管时间及住院时间均显著优于开放组,差异有统计学意义(P<0.05);两组患者ICU转入率比较差异无统计学意义(P>0.05);两组患者症状改善率比较差异无统计学意义(P>0.05);微创组患者围手术期并发症发生率均显著低于开放组,差异有统计学意义(P<0.05)。结论:相较于传统开放术式,微创后腹腔镜术式治疗肾上腺良性肿瘤可有效减轻术中创伤程度,加快术后康复进程,并有助于降低围手术期并发症发生风险。
Objective: To explore the short-term and long-term efficacy and safety of traditional open surgery and minimally invasive retroperitoneal laparoscopy in the treatment of benign adrenal tumors. Methods: A total of 130 patients with benign adrenal tumors in our hospital from January 2012 to May 2015 were selected and randomly divided into open group (65 cases) and minimally invasive group (65 cases) Open surgery and minimally invasive laparoscopic surgery; comparison of the two groups of patients perioperative clinical indicators, the rate of improvement of symptoms and perioperative complications and so on. Results: The operation time, intraoperative blood loss, first postoperative exhaust time, postoperative drainage, postoperative extubation time and hospital stay were significantly better than those in open group (P <0.05) ). There was no significant difference in the rate of ICU transference between the two groups (P> 0.05). There was no significant difference in the improvement rate of symptoms between the two groups (P> 0.05). The incidence of perioperative complications in the minimally invasive group Were significantly lower than the open group, the difference was statistically significant (P <0.05). Conclusion: Compared with the traditional open surgery, minimally invasive retroperitoneal laparoscopic treatment of benign adrenal tumors can effectively reduce the degree of intraoperative trauma, accelerate the recovery process and help reduce the risk of perioperative complications.