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目的探讨后腹腔镜肾上腺肿瘤切除术治疗肾上腺肿瘤的临床疗效。方法通过对2012年3月至2015年9月进行治疗的94例肾上腺肿瘤患者随机分组,实验组患者给予后腹腔镜手术治疗,对照组患者应用开放手术治疗。观察比较两组患者手术情况、术后恢复情况及并发症发生率。结果实验组患者失血量、住院时间、抗生素应用时间、术后进流食时间、导尿管留置时间、腹腔引流管留置时间、肠功能恢复时间及并发症发生率同对照组比较均具有显著性差异(P<0.05)。结论肾上腺肿瘤患者采用后腹腔镜治疗能降低失血量,缩短住院时间,缩短导尿管、腹腔引流管留置时间,降低并发症发生率,具有安全性高、治疗效果显著等特点。
Objective To investigate the clinical effect of retroperitoneoscopic adrenalectomy on adrenal tumors. METHODS: Ninety-four patients with adrenal tumors who were treated from March 2012 to September 2015 were randomly divided into two groups. The patients in the experimental group were treated with laparoscopic surgery and the patients in the control group were treated with open surgery. The operative conditions, postoperative recovery and complication rates were observed and compared between the two groups. Results The blood loss, length of hospital stay, duration of antibiotics application, time of feeding into the catheter, urinary catheter retention time, placement time of abdominal drainage tube, recovery time of intestinal function and complication rate in the experimental group were significantly different from those in the control group (P <0.05). Conclusion Retroperitoneal laparoscopic treatment of patients with adrenal tumors can reduce blood loss, reduce hospitalization time, shorten the catheter, peritoneal drainage catheter indwelling time and reduce the incidence of complications, with high safety and significant therapeutic effect.