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目的:比较腹腔镜肾上腺全切术与部分切除术治疗原发性醛固酮增多症的效果。方法:对152例原发性醛固酮增多症分别采用肾上腺全切术(A组82例)和肾上腺部分切除术(B组70例)进行治疗,测量并比较两组患者手术时间、手术失血量、住院时间以及术后一月内血压恢复者比例。结果:两组患者性别、年龄、高血压和低血钾在组间情况无统计差异,具备可比性(P>0.05)。A组患者手术时间、术后一月内血压恢复比例高于B组(P<0.05),而失血量和住院时间无组间差异(P>0.05)。结论:在腹腔镜肾上腺切除手术中,肾上腺全切取得了较好的效果,具有较高的临床应用价值。
Objective: To compare the effect of laparoscopic total adrenalectomy and partial resection in the treatment of primary aldosteronism. Methods: 152 cases of primary aldosteronism were treated with adrenalectomy (group A, 82 cases) and partial adrenalectomy (group B, 70 cases). The operative time, blood loss, Length of hospital stay, and percentage of patients who recovered within one month after surgery. Results: There was no significant difference between the two groups in sex, age, hypertension and hypokalemia, comparable (P> 0.05). The operation time of group A and the rate of recovery of blood pressure within one month after operation were higher than those of group B (P <0.05), but there was no significant difference between the two groups (P> 0.05). Conclusion: In laparoscopic adrenalectomy, total adrenalectomy achieved good results with high clinical value.