中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
26期
18-21
,共4页
嗜铬细胞瘤%肾上腺%腹腔镜
嗜鉻細胞瘤%腎上腺%腹腔鏡
기락세포류%신상선%복강경
Pheochromocytoma%Adrenal glands%Laparoscopes
目的 探讨腹腔镜与开放手术治疗肾上腺嗜铬细胞瘤的疗效是否不同,及腹腔镜治疗肾上腺嗜铬细胞瘤的有效性及安全性.方法 将60例拟诊为肾上腺嗜铬细胞瘤需行手术治疗患者,按手术方式不同分组,腹腔镜手术治疗者32例为腹腔镜组,开腹手术治疗者28例为开放组,比较两组疗效.结果 术后病理检查均确诊为肾上腺嗜铬细胞瘤,侵犯包膜者5例,腹腔镜组无一例中转开腹.开放组术中收缩压震幅、手术时间、术中出血量、术中输血量、切口长度、术后引流时间、术后引流量、术后住院时间分别为(25.21 ±9.42) mm Hg(1 mm Hg=0.133 kPa)、(127.38±16.40) min、(420.48±185.62) ml、(238.20±68.39) ml、(13.23±1.14) cm、(7.26±1.20)d、(326.50±96.48) ml、(9.31±1.89)d,腹腔镜组分别为(10.42±8.89) mm Hg、(76.29±24.61) min、(120.54±104.28) ml、(86.49±36.53)ml、(8.44±1.03) cm、(5.47±1.55)d、(180.32±100.52)ml、(7.21±1.30)d,两组比较差异有统计学意义(P＜0.05);两组肿瘤最大直径比较差异无统计学意义(P＞0.05);两组并发症发生率、复发率比较差异无统计学意义(P＞0.05).结论 腹腔镜与开放手术治疗肾上腺嗜铬细胞瘤疗效均较好,安全性较高,腹腔镜手术相对创伤较小,利于患者恢复,对无腹腔镜治疗禁忌证患者可首选腹腔镜手术治疗.
目的 探討腹腔鏡與開放手術治療腎上腺嗜鉻細胞瘤的療效是否不同,及腹腔鏡治療腎上腺嗜鉻細胞瘤的有效性及安全性.方法 將60例擬診為腎上腺嗜鉻細胞瘤需行手術治療患者,按手術方式不同分組,腹腔鏡手術治療者32例為腹腔鏡組,開腹手術治療者28例為開放組,比較兩組療效.結果 術後病理檢查均確診為腎上腺嗜鉻細胞瘤,侵犯包膜者5例,腹腔鏡組無一例中轉開腹.開放組術中收縮壓震幅、手術時間、術中齣血量、術中輸血量、切口長度、術後引流時間、術後引流量、術後住院時間分彆為(25.21 ±9.42) mm Hg(1 mm Hg=0.133 kPa)、(127.38±16.40) min、(420.48±185.62) ml、(238.20±68.39) ml、(13.23±1.14) cm、(7.26±1.20)d、(326.50±96.48) ml、(9.31±1.89)d,腹腔鏡組分彆為(10.42±8.89) mm Hg、(76.29±24.61) min、(120.54±104.28) ml、(86.49±36.53)ml、(8.44±1.03) cm、(5.47±1.55)d、(180.32±100.52)ml、(7.21±1.30)d,兩組比較差異有統計學意義(P＜0.05);兩組腫瘤最大直徑比較差異無統計學意義(P＞0.05);兩組併髮癥髮生率、複髮率比較差異無統計學意義(P＞0.05).結論 腹腔鏡與開放手術治療腎上腺嗜鉻細胞瘤療效均較好,安全性較高,腹腔鏡手術相對創傷較小,利于患者恢複,對無腹腔鏡治療禁忌證患者可首選腹腔鏡手術治療.
목적 탐토복강경여개방수술치료신상선기락세포류적료효시부불동,급복강경치료신상선기락세포류적유효성급안전성.방법 장60례의진위신상선기락세포류수행수술치료환자,안수술방식불동분조,복강경수술치료자32례위복강경조,개복수술치료자28례위개방조,비교량조료효.결과 술후병리검사균학진위신상선기락세포류,침범포막자5례,복강경조무일례중전개복.개방조술중수축압진폭、수술시간、술중출혈량、술중수혈량、절구장도、술후인류시간、술후인류량、술후주원시간분별위(25.21 ±9.42) mm Hg(1 mm Hg=0.133 kPa)、(127.38±16.40) min、(420.48±185.62) ml、(238.20±68.39) ml、(13.23±1.14) cm、(7.26±1.20)d、(326.50±96.48) ml、(9.31±1.89)d,복강경조분별위(10.42±8.89) mm Hg、(76.29±24.61) min、(120.54±104.28) ml、(86.49±36.53)ml、(8.44±1.03) cm、(5.47±1.55)d、(180.32±100.52)ml、(7.21±1.30)d,량조비교차이유통계학의의(P＜0.05);량조종류최대직경비교차이무통계학의의(P＞0.05);량조병발증발생솔、복발솔비교차이무통계학의의(P＞0.05).결론 복강경여개방수술치료신상선기락세포류료효균교호,안전성교고,복강경수술상대창상교소,리우환자회복,대무복강경치료금기증환자가수선복강경수술치료.
Objective To investigate the treatment effect of adrenal pheochromocytoma between laparoscopic and open surgery.Methods Sixty cases diagnosed as adrenal pheochromocytoma undergoing surgery,were grouped by different surgical methods,32 cases with laparoscopic surgery as the laparoscopic group,28 cases with open surgery as the open group.Comparing two groups with the curative effect.Results Postoperative pathology confirmed the diagnosis with pheochromocytoma,5 cases with infringe upon the envelope,laparoscopic group had no transfer laparotomy.Intraoperative systolic breadth,operative time,intraoperative blood loss,intraoperative blood transfusion volume,length of incision,postoperative drainage time,postoperative drainage and postoperative hospitalization days in open group were (25.21 ± 9.42) mm Hg(1 mm Hg =0.133 kPa),(127.38 ± 16.40) min,(420.48 ± 185.62) ml,(238.20 ± 68.39) ml,(13.23 ± 1.14) cm、(7.26 ± 1.20) d,(326.50 ±96.48) ml,(9.31 ± 1.89) d,in laparoscopic group were (10.42 ± 8.89) mm Hg,(76.29 ±24.61) min,(120.54 ±104.28) ml,(86.49 ±36.53) ml,(8.44 ±1.03) cm,(5.47 ± 1.55) d,(180.32 ± 100.52) ml,(7.21 ± 1.30) d,differences between two groups were statistically significant (P ＜0.05).There was no significant difference in maximum tumor diameter,complication incidence,recurrence rate between open group and laparoscopic group (P ＞ 0.05).Conclusions Laparoscopic and open surgery treatment of adrenal pheochromocytoma curative effect is good,high security,laparoscopic surgery in patients with traumatic small relative to restore,no contraindications to laparoscopic treatment in patients with laparoscopic surgery treatment can be preferred.
