CAJ | 학술논문

目的探讨腹膜后腹腔镜下肾上腺切除术的临床疗效.方法 120例肾上腺肿瘤患者依据手术治疗方式不同进行分组,观察组80例和对照组40例,分别采用腹膜后腹腔镜下肾上腺切除术和开放性手术,比较两组手术时间、术中出血量、术后排气时间、住院时间及并发症发生情况.结果观察组手术时间、术中出血量、术后排气时间、住院时间、切口感染率、肺部感染率、肠损伤发生率等均低于对照组(t=5.59、21.17、26.32、6.01,x2=7.79、7.79、5.13,均P＜0.05).结论腹膜后腹腔镜下肾上腺切除术切口小,创伤小,术后恢复快,并发症少,值得临床推广应用.
목적 탐토복막후복강경하신상선절제술적림상료효.방법 120례신상선종류환자의거수술치료방식불동진행분조,관찰조80례화대조조40례,분별채용복막후복강경하신상선절제술화개방성수술,비교량조수술시간、술중출혈량、술후배기시간、주원시간급병발증발생정황.결과 관찰조수술시간、술중출혈량、술후배기시간、주원시간、절구감염솔、폐부감염솔、장손상발생솔등균저우대조조(t=5.59、21.17、26.32、6.01,x2=7.79、7.79、5.13,균P＜0.05).결론 복막후복강경하신상선절제술절구소,창상소,술후회복쾌,병발증소,치득림상추엄응용.
Objective To approach the clinical curative effect of retroperitoneal laparoscopic adrenalectomy.Methods 120 adrenal tumors patients clinical data of urinary surgery in our hospital were analyzed,who was divided into detection group(80 cases) and control group(40 cases).Results The operation time,bleeding volume,postoperative exhaust time,hospitalization time,incision infection,pulmonary infection,intestinal injury of detection group were lower than those of control group (t =5.59,21.17,26.32,6.01,x2 =7.79,7.79,5.13,all P ＜ 0.05).Conclusion Retroperitoneal laparoscopic adrenalectomy has some advantages:the small incision,less trauma,faster postoperative recovery,less complication,,which was worth of applying.