经腹膜后腹腔镜肾上腺切除术治疗肾上腺偶发瘤的效果  

Effect of retroperitoneal laparoscopic adrenalectomy for adrenal incidental tumor

作　　者：李峰[1] LI Feng(Department of Urinary Surgery,the Second Affiliated Hospital of Guangzhou Medical University,Guangdong Province,Guangzhou 511447,China)

机构地区：[1]广州医科大学附属第二医院泌尿外科,广东广州511447

出　　处：《中国当代医药》2022年第7期74-77,共4页China Modern Medicine

基　　金：广东省中医药局中医药科研项目(20191209)。

摘　　要：目的探讨腹腔镜肾上腺肿瘤切除术治疗肾上腺偶发瘤的效果。方法选取2015年1月至2021年1月广州医科大学附属第二医院收治的60例肾上腺偶发瘤患者作为研究对象,采用随机数字表法将其分为研究1组与研究2组,每组各30例。研究1组患者采用经腹膜后腹腔镜肾上腺切除术,研究2组患者采用经腹腹腔镜肾上腺肿瘤切除术。比较两组患者的手术指标、并发症及生活质量。结果研究1组患者的手术时间、术后进食时间、术后下床活动时间、住院时间短于研究2组,差异有统计学意义(P<0.05);研究1组患者的术中出血量少于研究2组,差异有统计学意义(P<0.05);研究1组患者的并发症总发生率低于研究2组,差异有统计学意义(P<0.05)。两组患者术前的生活质量(QOL)评分比较,差异无统计学意义(P>0.05);研究1组患者术后的QOL各项评分均高于研究2组,差异有统计学意义(P<0.05)。结论对肾上腺偶发瘤采取经腹膜后腹腔镜肾上腺切除术治疗后,可显著减少手术时间及出血量,缩短住院时间,且并发症少,安全性高,术后生活质量改善明显,值得应用与推广。Objective To study the effect of retroperitoneal laparoscopic adrenalectomy for adrenal incidental tumor.Methods A total of 60 patients with adrenal incidental tumor admitted to the Second Affiliated Hospital of Guangzhou Medical University from January 2015 to January 2021 were selected as the subjects.They were divided into study group 1 and study group 2 by random number table method,with 30 patients in each group.The study group 1 was treated with retroperitoneal laparoscopic adrenalectomy,and the study group 2 was treated with transabdominal laparoscopic adrenalectomy.The surgical indicators,complications and quality of life were compared between the two groups.Results The operation time,postoperative feeding time,off-bed activity time and hospital stays in the study group 1 were shorter than those in the study group 2,and the differences were statistically significant(P<0.05).The intraoperative blood loss in study group 1 was less than that in study group 2,and the difference was statistically significant(P<0.05).The total incidence of complications in study group 1 was lower than that in study group 2,and the difference was statistically significant(P<0.05).There was no statistically significant difference in preoperative quality of life(QOL)score between the two groups(P>0.05).All postoperative QOL scores in study group 1 were higher than those in study group 2,and the differences were statistically significant(P<0.05).Conclusion The retroperitoneal laparoscopic adrenalectomy can reduce the operation time,bleeding volume,hospital stays and surgical complications,and improve the treatment safety and quality of life.It is worthy of application and promotion.

关 键 词：肾上腺偶发瘤 肾上腺肿瘤切除 腹腔镜手术 

分 类 号：R736.6[医药卫生—肿瘤]