摘要
目的分析侧卧位与半侧卧位后腹腔镜下较大肾上腺肿瘤切除术的临床效果。方法 90例行后腹腔镜下较大肾上腺肿瘤切除术患者,按照入院顺序分为观察组与对照组,各45例。观察组患者给予半侧卧位,对照组患者给予侧卧位。对比两组的手术效果。结果观察组患者的中转开放手术率0、增加套管率2.2%、住院时间(5.1±0.9)d、术中出血量(55.2±16.8)ml以及手术时间(58.1±16.3)min均优于对照组的17.8%、31.1%、(7.6±1.3)d、(80.2±33.9)ml、(95.4±28.2)min,差异均有统计学意义(P<0.05)。结论半侧卧位后腹腔镜下较大肾上腺肿瘤切除术的临床治疗效果显著优于侧卧位,值得在临床中推广应用。
Objective To analyze clinical effect of large adrenal tumor resection by retroperitoneoscopy in lateral position and half-lateral position. Methods A total of 90 patients with large adrenal tumor resection by retroperitoneoscopy were divided by admission order into observation group and control group, with 45 cases in each group.The observation group received half-lateral position treatment, and control group received lateral position treatment. Surgical effect was compared between two groups. Results The observation group had transfer rate of open surgery as 0, canula increasing rate as 2.2%, hospital stays as(5.1±0.9)d, intraoperative blood loss as(55.2±16.8)ml, and operation time as(58.1±16.3)min, which were better than 17.8%, 31.1%,(7.6±1.3)d,(80.2±33.9)ml and(95.4±28.2)min in control group, and differences had statistical significance(P〈0.05). Conclusion Large adrenal tumor resection by retroperitoneoscopy in half-lateral position proves better clinical treatment effect than lateral position, and it is worth clinical promotion and application.
出处
《中国实用医药》
2016年第34期57-58,共2页
China Practical Medicine
关键词
侧卧位
半侧卧位
后腹腔镜
较大肾上腺肿瘤切除术
效果
Lateral position
Half-lateral position
Retroperitoneoscopy
Large adrenal tumor resection
Effect