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目的:观察后腹腔镜肾上腺肿瘤切除术的临床疗效。方法:采用随机方法将2012年1月到2015年1月我院收治的45例肾上腺肿瘤患者进行分组,观察组进行后腹腔镜肾上腺肿瘤切除术,对照组进行开放手术,对比2组临床疗效。结果:观察组患者的手术时间、术中出血量、术后胃肠功能恢复时间、下床活动时间指标显著优于对照组,住院费用高于对照组,差异具有统计学意义(P<0.05)。2组胸膜损伤发生率无统计学差异(P>0.05)。结论:后腹腔镜肾上腺肿瘤切除术疗效确切,安全性好,值得推广。
Objective: To observe the clinical effect of retroperitoneoscopic adrenalectomy. Methods: Forty-five patients with adrenal tumors admitted from January 2012 to January 2015 in our hospital were divided into two groups. The patients in the observation group underwent laparoscopic adrenalectomy and the control group underwent open surgery. The clinical effects were compared between the two groups. Results: The operation time, intraoperative blood loss, postoperative gastrointestinal function recovery time, ambulation time index were significantly better in the observation group than those in the control group, and the hospitalization expenses were higher than those in the control group (P <0.05) . There was no significant difference in the incidence of pleural injuries between the two groups (P> 0.05). Conclusions: Retroperitoneal laparoscopic adrenalectomy is effective, safe and worthy of promotion.