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目的:评价腹腔镜肾上腺切除术的临床效果。方法:肾上腺切除术118例,其中行腹腔镜肾上腺切除术48例(A组),开放性肾上腺切除术70例(B组)。对两组的临床疗效、术后恢复及并发症等进行对比研究。结果:A组术中出血量(39.2±20.4)ml、术后(27.2±13.8)h肠功能恢复、(28.0±12.0)h下床活动、应用止痛药杜冷丁30人次、术后住院(4.8±2.9)d,明显优于B组,差异有显著性意义(P<0.05)。B组手术时间(104minvs140min)优于A组,差异有显著性意义(P<0.05)。A组并发症明显少于B组。结论:腹腔镜肾上腺切除术与开放手术相比,疗效相当,除手术时间略长外,创伤小、痛苦少、术后恢复快、并发症少。
Objective: To evaluate the clinical effect of laparoscopic adrenalectomy. Methods: 118 cases of adrenalectomy were performed, including 48 cases of laparoscopic adrenalectomy (group A) and 70 cases of open adrenalectomy (group B). The clinical efficacy, postoperative recovery and complications of the two groups were compared. Results: The intraoperative blood loss in group A was (39.2 ± 20.4) ml, the bowel function recovered after (27.2 ± 13.8) h, the bed activity was (28.0 ± 12.0) h, the number of patients receiving pethidine ± 2.9) d, which was significantly better than that of group B, the difference was significant (P <0.05). The operation time of group B (104min vs 140min) was better than that of group A, the difference was significant (P <0.05). A group of complications were significantly less than the B group. Conclusions: Compared with open operation, laparoscopic adrenalectomy has the same curative effect and little trauma except less operation time, less pain, quick recovery after operation and fewer complications.