腹膜后腹腔镜手术与开放手术治疗原发性醛固酮增多症临床效果的对照研究

Control study of clinical effect in retroperitoneal laparoscopic adrenalectomy and open surgery for primary aldosteronism

目的:探讨原发性醛固酮增多症(原醛症)行腹膜后腹腔镜手术治疗的效果,并与开放手术进行对照。方法:回顾分析24例行腹膜后腹腔镜手术治疗原醛症患者与22例开放手术患者的临床资料。结果:除平均手术时间外,腹膜后腹腔镜组在失血量、术后止痛剂用量、术后下床活动时间及术后住院天数均显著优于开放组,均未输血和出现严重并发症。术后平均随访6个月,无远期并发症发生。结论:治疗原醛症采用腹膜后腹腔镜手术效果显著,优于开放手术,安全有效,具有患者创伤小、出血少、康复快、住院时间短等优点。

Objective：To evaluate clinical effect of primary aldosteronism by comparing retroperitoneal laparoscopic,adrenaleetomy with open surgery. Methods： Clinical data of 24 cases operated retroperitoneal laparoscopic surgery and 22 cases underwent open surgery were retrospectvely analyzed. Results： Compared with open surgery, retroperitoneal laparoscopic surgery was better in blood loss, dosage of analgesic use, and postoperative hospital stay except operative time. Conclusions： Retroperitoneal laparoscopic procedure is a minimally invasive and safe therapeutic option for primary aldosteronism, with less blood loss, more rapid recovery and shorter postoperative hosoital stay.