腹膜后腹腔镜手术与开放手术治疗原发性醛固酮增多症的对比研究  

Retroperitoneal laparoscopic surgery for primary aldosteronism as compared with open adrenalectomy

作　　者：吕志勇[1] 李培军[1] 陈福宝[1] 韩利忠[1] 

机构地区：[1]宁夏医学院附属医院,宁夏银川750004

出　　处：《腹腔镜外科杂志》2008年第2期119-120,共2页Journal of Laparoscopic Surgery

摘　　要：目的:探讨原发性醛固酮增多症(原醛症)行腹膜后腹腔镜手术治疗的效果并与开放手术对比分析。方法:回顾分析行腹膜后腹腔镜手术的原醛症患者36例与近期开放手术治疗的原醛症患者32例的临床效果。结果:后腹腔镜组除平均手术时间外,平均失血量、术后止痛剂用量、术后下床活动时间及术后住院天数均显著优于开放组,无一例需要输血和发生严重并发症。术后平均随访6个月,全部病例均达到治疗目的,无远期手术并发症发生。结论:治疗原醛症采用后腹腔镜手术显著优于开放手术,是一种安全有效的术式,具有患者创伤小、出血少、康复快、住院时间短等优点。Objectlve：To evaluate and compare retroperitoneal laparoscopic surgery in the treatment of primary aldosteronism with open adrenalectomy, nethods：Retroperitoneal laparoscopic surgery was performed in 36 patients with primary aldosteronism. The clinical data were compared with those of 32 cases undergoing open surgery. Results：Compared with open surgery,retroperitoneal laparoscopic surgery was better in estimated blood loss,analgesic use,and postoperative hospital stay, Conclusions：Retroperitoneal laparo- scopic procedure is a minimally invasive and safe therapeutic option for primary aldosteronism, with less blood loss, more rapid recovery and shorter postoperative hospital stay.

关 键 词：原发性醛固酮增多症 腹膜后腹腔镜术 

分 类 号：R736.6[医药卫生—肿瘤]