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目的探讨腹腔镜手术治疗肾上腺肿瘤的技术要点及临床疗效。方法将收治并手术的158例肾上腺肿瘤手术患者按照手术方式不同分为两组,观察组患者87例,实施腹腔镜手术切除肿瘤;对照组患者71例,实施开放性手术。比较两组患者的手术时间、术中出血量、引流管拔管时间、住院时间、并发症发生率的差异。结果两组患者均安全度过手术期,无死亡病例。观察组和对照组患者的平均手术时间分别为(117.9±38.3)min和(152.5±50.1)min,平均术中出血量为(102.7±18.5)ml和(197.2±36.4)ml,平均住院时间分别为(5.9±2.7)d和(10.4±3.7)d,差异均有统计学意义(均P<0.05)。两组患者拔管时间为(3.2±0.8)d和(5.7±1.1)d,并发症发生率为15.8%和38.2%,差异均有统计学意义(均P<0.05)。结论腹腔镜手术与传统开放式手术相比,具有手术时间短、术中出血少、拔管早、恢复快、并发症少等优点,值得临床推广。
Objective To investigate the technical points and clinical efficacy of laparoscopic surgery for adrenal tumors. Methods One hundred and eighty-eight patients with adrenal tumors who underwent surgery were divided into two groups according to the operation mode. 87 patients in the observation group were treated with laparoscopic surgery and 71 patients in the control group were undergoing open surgery. The operation time, intraoperative blood loss, drainage tube extubation time, hospitalization time and the incidence of complications were compared between the two groups. Results Two groups of patients were safely operated without any deaths. The average operation time of observation group and control group were (117.9 ± 38.3) min and (152.5 ± 50.1) min respectively, mean blood loss was (102.7 ± 18.5) ml and (197.2 ± 36.4) ml, respectively. The mean length of stay was (5.9 ± 2.7) days and (10.4 ± 3.7) days, all of which were statistically significant (all P <0.05). The extubation time was (3.2 ± 0.8) days and (5.7 ± 1.1) days in both groups, and the complication rates were 15.8% and 38.2% respectively (all P <0.05). Conclusion Compared with the traditional open surgery, laparoscopic surgery has the advantages of short operation time, less intraoperative bleeding, early extubation, faster recovery and fewer complications, which is worthy of clinical promotion.