目的:分析经腹腹腔镜肾上腺肿瘤切除术治疗对肾上腺肿瘤并高血压患者血压改善情况及不良反应的影响。方法:将2010年1月~2018年5月凉山彝族自治州第二人民医院实施开放性手术治疗的44例肾上腺肿瘤并高血压患者设为对照组,同时将2018年6月~2023年6月凉山彝族自治州第二人民医院实施腹腔镜切除术治疗的66例肾上腺肿瘤并高血压患者设为研究组,评测两组患者病理类型、血压控制效果和生活质量评分改善情况以及不良反应发生率。结果:研究组血压改善水平明显比对照组更佳,差异有统计学意义(P 2 = 3.914, P = 0.048)。结论:经腹腹腔镜肾上腺肿瘤切除术治疗更有利于改善肾上腺肿瘤并高血压患者血压水平,且可以减少开放性手术引起的不良反应。Objective: To analyze the effect of transabdominal laparoscopic adrenal tumor resection on the improvement of blood pressure and adverse reactions in patients with adrenal tumors and hypertension. Methods: A total of 44 patients with adrenal tumors and hypertension who underwent open surgery in The Second People’s Hospital of Liangshan Yi Autonomous Prefecture from January 2010 to May 2018 were selected as the control group. At the same time, 66 patients with adrenal tumors and hypertension who underwent laparoscopic resection in the Second People’s Hospital of Liangshan Yi Autonomous Prefecture from June 2018 to June 2023 were selected as the study group to evaluate the pathological type, blood pressure control effect, improvement of quality of life score and incidence of adverse reactions of the two groups of patients. Results: The blood pressure improvement in the study group was significantly better than that in the control group, and all quality of life scores of the study group were better than that of the control group (P 2 = 3.914, P = 0.048). Conclusion: Transabdominal laparoscopic adrenal tumor resection is more beneficial to improve the blood pressure of patients with
目的总结分析免气腹单孔后腹腔镜肾上腺肿瘤切除术的方法和围手术期资料,探讨免气腹单孔后腹腔镜肾上腺肿瘤切除术的安全性和可行性。方法回顾性收集2020年10月至2022年3月中山大学肿瘤防治中心由同一术者完成的65例单孔后腹腔镜肾上腺肿瘤切除术患者的临床资料,其中免气腹单孔腹腔镜23例,有气腹单孔腹腔镜42例。结果65例单孔腹腔镜手术均成功完成,无中转开放或者改多孔操作。免气腹单孔腹腔镜组和有气腹单孔腹腔镜组在手术时间、术中出血量、术后住院时间、术后止痛药物使用时间、引流管留置时间差异均无统计学意义(P>0.05);免气腹组住院平均费用低于气腹组[(32072±2667 vs 34972±2783)元,P<0.001]。结论免气腹单孔后腹腔镜肾上腺肿瘤切除术安全可行,能避免气腹并发症,减少患者住院费用,是一种微创,美容和经济的术式。
