本文選題：腎上腺腫瘤　切入點(diǎn)：后腹腔鏡手術(shù)　出處：《青海大學(xué)》2014年碩士論文

【摘要】：目的：分析手術(shù)切除腎上腺腫瘤的兩種不同方式，即后腹腔鏡技術(shù)、開(kāi)放手術(shù)技術(shù)，評(píng)價(jià)兩種方式各自的臨床價(jià)值。目的在于評(píng)價(jià)兩者在治療腎上腺腫瘤方面的療效及其安全性。 研究對(duì)象和方法：收集2012年5月-2014年3月于青海省人民醫(yī)院泌尿外科診治的腎上腺腫瘤患者40例；其中，行后腹腔鏡手術(shù)治療的20例（A組），行開(kāi)放手術(shù)治療的20例（B組）�？偨Y(jié)、統(tǒng)計(jì)、分析以上兩種術(shù)式（A組、B組）的手術(shù)時(shí)間、手術(shù)出血量、手術(shù)住院時(shí)間以及手術(shù)前后患者pH值、PCO-2、HCO3、BE等相關(guān)指標(biāo)。 結(jié)果：兩組手術(shù)時(shí)間分別為(74.50±8.76) min和(131.90±13.20) min；術(shù)中出血量分別為(67.25±33.89)ml和(126.50±48.34)ml；術(shù)后住院天數(shù)分別為(5.55±1.54)天和(10.45±2.11)天；術(shù)前兩組pH(7.42±0.25)和(7.41±0.25)、PCO2(36.65±2.11)mmHg和(37.00±2.02)mmHg、HCO-3(25.11±1.50)mmol/l和（24.72±1.16）mmol/l、 BE(1.21±1.67)mmol/l和(1.15±1.56)mmol/l；術(shù)后即刻兩組pH(7.35±0.19)和(7.40±0.32)、PCO2(42.20±2.61)mmHg和(38.25±2.63)mmHg、HCO-3(23.13±1.16)mmol/l和（23.97±1.40）mmol/l、 BE(-0.97±1.43)mmol/l和(0.42±1.56)mmol/l。 結(jié)論：1.后腹腔鏡腎上腺腫瘤切除術(shù)在手術(shù)時(shí)間、術(shù)中出血量、術(shù)后住院天數(shù)等方面數(shù)據(jù)與開(kāi)放手術(shù)相關(guān)項(xiàng)目比較具有明顯優(yōu)勢(shì)(PO．01)。 2.后腹腔鏡腎上腺腫瘤切除手術(shù)對(duì)患者血?dú)庥幸欢ǖ挠绊�，�?yīng)加強(qiáng)圍手術(shù)期監(jiān)測(cè)和管理，使血?dú)庾兓S持在正常范圍，，以減輕或減少術(shù)中并發(fā)癥。
[Abstract]:Objective: to analyze two different methods of resection of adrenal tumors, that is, retroperitoneal laparoscopy and open surgery. Objective to evaluate the efficacy and safety of the two methods in the treatment of adrenal tumors. Subjects and methods: from May 2012 to March 2014, 40 patients with adrenal neoplasms diagnosed and treated in urology department of Qinghai Provincial people's Hospital were collected. Twenty cases of group A were treated by retroperitoneal laparoscopy, and 20 cases of group B were treated with open surgery. The time of hospitalization and the pH value of PCO-2HCO3BE were measured before and after operation. Results: the operative time was 74.50 鹵8.76 min and 131.90 鹵13.20 min, the intraoperative bleeding was 67.25 鹵33.89)ml and 126.50 鹵48.34 ml, the postoperative hospitalization days were 5.55 鹵1.54 days and 10.45 鹵2.11 days, respectively; the preoperative pH(7.42 鹵0.25) and 7.41 鹵0.25PCO2C36.65 鹵2.11)mmHg and 37.00 鹵2.02mHgHCO-325.11 鹵1.50)mmol/l and 24.72 鹵1.16mmolll, BE(1.21 鹵1.67)mmol/l and 1.15 鹵1.56mmol / l of BE(-0.97, respectively; immediately after operation, the two groups were pH(7.35 鹵190.and 7.40 鹵0.32P2CO42.20 鹵2.61)mmHg and 38.63H2H-1 鹵36.13 鹵1.43)mmol/l 鹵1.40mmol-1, respectively. Conclusion retroperitoneal laparoscopic adrenalectomy has significant advantages over open surgery in terms of operation time, intraoperative bleeding volume and postoperative hospital stay. 2. Retroperitoneal laparoscopic adrenalectomy has a certain effect on blood gas in patients. The perioperative monitoring and management should be strengthened to keep the change of blood gas in normal range, in order to reduce or reduce the complications during operation.
【學(xué)位授予單位】：青海大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R699

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