CAJ | 학술논문

目的比较后腹腔镜单层面法与传统三层面法行肾上腺切除术的安全性和有效性.方法遵循随机对照原则,将218例肾上腺增生或肾上腺肿瘤需行肾上腺切除术患者分成两组,通过统计分析手术时间、术中出血量等指标比较两种术式的安全性和有效性.结果单层面分离法与传统三层面分离法的手术时长分别为(33±20) min和(42±15) min,差异有统计学意义(P＜0.05);两组术中出血量分别为(15±3)ml和(23±3)ml,差异有统计学意义(P＜0.01).两组术后住院时间、术后并发症出现例数、平均肿瘤或结节直径、术后留置引流管时间、术后留置尿管时间、术后恢复进食时间比较差异均无统计学意义(P＞0.05).结论单层面肾上腺分离法在肾上腺切除术中是一种可行的分离方式,与传统三层面分离法比较缩短了手术时间、减少了术后出血量.
목적 비교후복강경단층면법여전통삼층면법행신상선절제술적안전성화유효성.방법 준순수궤대조원칙,장218례신상선증생혹신상선종류수행신상선절제술환자분성량조,통과통계분석수술시간、술중출혈량등지표비교량충술식적안전성화유효성.결과 단층면분리법여전통삼층면분리법적수술시장분별위(33±20) min화(42±15) min,차이유통계학의의(P＜0.05);량조술중출혈량분별위(15±3)ml화(23±3)ml,차이유통계학의의(P＜0.01).량조술후주원시간、술후병발증출현례수、평균종류혹결절직경、술후류치인류관시간、술후류치뇨관시간、술후회복진식시간비교차이균무통계학의의(P＞0.05).결론 단층면신상선분리법재신상선절제술중시일충가행적분리방식,여전통삼층면분리법비교축단료수술시간、감소료술후출혈량.
Objective To study the single layer vs.traditional three-layer separation in retroperitoneoscopic adrenalectomy for the treatment of adrenal tumor.Methods Following the randomized controlled experiment method, 218 patients with adrenal tumor were randomly divided into two groups.One group was subjected to retroperitoneoscopic adrenalectomy with single layer method, and one group was given traditional three-layers seperation method.The body mass index (BMI), operative time, the intraoperative blood loss, the duration of the urethral catheter, the postoperative hospital stay and the postoperative complications were analyzed and compared between the two groups.Results All of the operations were performed successfully.There was significant difference in operative time [(33 ± 20) vs.(42 ± 15) min] (P ＜ 0.05) and the intraoperative blood loss [(15 ± 3) vs.(23 ± 3) ml] (P ＜ 0.01) between the single layer method group and three-layer separation group.Conclusion Single layer separation method in retroperitoneoscopic adrenalectomy is safe and feasible, which shortens the operative time and reduces blood loss.