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目的探讨巨大肾上腺肿瘤的治疗方式。方法总结19例巨大肾上腺肿瘤经腹手术治疗的临床资料。结果所有病例肿瘤手术切除,手术时间(120~210)m in,平均(157±11)m in;术中失血100~1600 m l,平均(336±28)m l;术中输血8例,输血量400~1200 m l。术中下腔静脉损伤2例,予以缝合修补;脾静脉损伤1例,行脾切除术;无肾上腺危象发生,无围术期死亡病例。结论经过完备的术前检查、充分的手术准备、严密的术中术后监测,手术治疗巨大肾上腺肿瘤安全、有效。
Objective To investigate the treatment of giant adrenal tumors. Methods The clinical data of 19 cases of giant adrenal tumors treated by abdominal surgery were summarized. Results The tumor was removed in all cases. The operative time (120 ~ 210) mins (mean ± SD) was (157 ± 11) mins. The intraoperative blood loss was 100 ~ 1600 ml with an average of 336 ± 28 ml. 400 ~ 1200 ml. Intraoperative inferior vena cava injury in 2 cases, to suture repair; splenic vein injury in 1 case, splenectomy; no adrenal crisis, no perioperative deaths. Conclusion After a complete preoperative examination, adequate surgical preparation, strict intraoperative and postoperative monitoring, surgical treatment of giant adrenal tumors safe and effective.