摘要
目的探讨腹腔镜与开放手术治疗肾上腺嗜铬细胞瘤的临床对照研究。方法共纳入30例单侧肾上腺嗜铬细胞瘤患者,随机分为两组,A组给予腹腔镜治疗;B组给予开腹手术治疗。观察两组患者手术过程中血压及心率的波动、手术的失血量等的差异。结果两组患者手术均成功,B组血压波动例数、心率波动大小、手术失血量、手术时间、输血人数、手术切口长度均明显高于A组;A组术后引流量、引流时间及住院时间均明显低于B组,差异均有有统计学意义(P<0.05);术后均未见严重并发症发生。随访3个月后,未有肿瘤的复发。结论腹腔镜治疗肾上腺嗜铬细胞瘤具有创伤小、出血少、手术时间短、恢复快及并发症少等优点,值得临床推广应用。
Objective Explore laparoscopic surgical treatment and open adrenal pheochromocytoma clinical control study. Methods A total of 30 patients with unilateral adrenal pheoehromocytoma patients were randomly divided into two groups, A group was treated with laparoscopic treatment; B group was treated with open surgery. Observe the blood pressure and heart rate fluctuations, surgical blood loss,such as differences in the two groups of patients duringsurgery. Results Two groups of patients with surgery are successful,the B group blood pressure fluctuations in the number of cases,the size of the fluctuation of heart rate,blood loss,operative time,transfusion number,incision length was significantly higher than in group A; A postoperative drainage,drainage time and hospital time were significantly lower than in group B,and the differences were statistically significant （P〈 0.05） ; postoperative were no serious complications.After 3 months of follow-up is no recurrence of the tumor. Conclusion Laparoscopic treatment adrenal pheochromocytoma traumatic small,less bleeding, operation time is short,the rapid recovery and less complications advantages,and clinical application.
出处
《中国医药指南》
2013年第7期428-429,共2页
Guide of China Medicine
