腹膜后腹腔镜治疗肾上腺肿瘤患者的临床效果  

Clinical Effect of Retroperitoneal Laparoscopy in the Treatment of Adrenal Tumors

作　　者：林城[1] LIN Cheng(Department of Urology,Nanping First Hospital Affiliated to Fujian Medical University,Nanping 353000,China)

机构地区：[1]福建医科大学附属南平市第一医院泌尿外科,福建南平353000

出　　处：《中国医药指南》2022年第14期79-81,共3页Guide of China Medicine

摘　　要：目的运用不同的手术治疗方案对肾上腺肿瘤(AT)患者实施治疗,进一步对腹膜后腹腔镜手术的临床疗效进行分析。方法本次研究选取医院2020年3月至2021年3月收治的接受手术治疗的AT患者94例,根据其手术治疗方法的不同进行分组,其中有47例患者采用腹膜后腹腔镜手术治疗(腹腔镜组),另外47例患者采用传统开腹手术治疗(开腹组),分析比较两组患者的手术效果。结果腹腔镜组患者手术时间、胃肠功能恢复时间、留置引流管时间以及住院时间与开腹组患者相比均明显较短,腹腔镜组患者术中出血量明显少于开腹组患者,且在切口长度的比较上腹腔镜组患者也明显短于开腹组患者,P<0.05。腹腔镜组患者并发症发生率明显低于开腹组患者,P<0.05。在术前免疫功能指标水平的比较上,两组患者差异无统计学意义,P>0.05;而术后腹腔镜组患者免疫球蛋白A、免疫球蛋白M、免疫球蛋白G显著优于开腹组患者,P<0.05。结论在为AT患者实施手术治疗的过程中腹膜后腹腔镜手术是一种相对较为理想的手术方案,有助于患者术中、术后相关指标的改善,可以为临床治疗提供借鉴。Objective Use different surgical treatments to treat patients with adrenal tumor(AT),and to further analyze the clinical efficacy of retroperitoneal laparoscopic surgery.Methods The patients in this experimental study were admitted to our hospital from March 2020 to March 2021.A total of 94 AT patients who underwent surgical treatment in our hospital were included in this experimental study.Patients were grouped according to their surgical treatment methods,including:The surgical method of 47 patients was retroperitoneal laparoscopic surgery(laparoscopic group),and the surgical method of 47 patients was traditional laparotomy(open abdominal group).The surgical results of the two groups were analyzed and compared.Results Compared with the patients in the laparotomy group,the operation time,gastrointestinal function recovery time,indwelling drainage tube time and hospital stay in the laparoscopic group were significantly shorter than those in the laparotomy group,the intraoperative blood loss was significantly less in the laparoscopic group,and the length of the incision in the laparoscopy group was also significantly shorter than that in the laparotomy group,P<0.05.After comparative analysis of the complication rate of the two groups of patients,it was found that the patients in the laparoscopic group were significantly lower than those in the open group,P<0.05.There was no statistically significant difference between the two groups of patients in the comparison of the levels of immune function indexes before operation,P>0.05;while the postoperative laparoscopic group patients were significantly different from the open group patients,P<0.05.Conclusion Retroperitoneal laparoscopic surgery is a relatively ideal surgical plan in the process of surgical treatment for AT patients,which can help patients improve intraoperative and postoperative related indicators,and can provide a reference for clinical treatment.

关 键 词：肾上腺肿瘤 腹膜后腹腔镜手术 传统开腹手术 胃肠功能 

分 类 号：R586[医药卫生—内分泌]