西宁地区不同手术方式下行肾上腺嗜铬细胞瘤切除术患者血压、心率变化的比较

Comparison of BP and HR Changes in Patients with Adrenal Pheochromocytoma Resection in Different Operation Way at Xining Region

目的:比较传统开腹手术切除肾上腺嗜铬细胞瘤和腹腔镜下肾上腺嗜铬细胞瘤切除术对患者血压、心率的影响。方法:分析我院2010年6月—2015年6月手术治疗肾上腺嗜铬细胞瘤80例的临床资料,腹腔镜组40例,开腹组40例,对比两组患者术中血压、心率的变化(术中血压波动的幅度、心率的变化、手术时间)。结果:腹腔镜组手术时间短于开腹组,(98.15±9.59)min、(118.15±14.05)min,(t=-7.44,P=0.000),术中血压和心率波动幅度腹腔镜组比开腹组低(P<0.05)。结论:西宁地区腹腔镜下行肾上腺嗜铬细胞瘤术中血压、心率的变化较传统开腹手术平稳。

Objective： Comparison of blood pressure（ BP） and heart rate（ HR） changes in patients with adrenal pheochromocytoma resection in different operation way at Xining region. Methods： 80 cases of patients with adrenal pheochromocytoma resection from June 2010 to June 2015 in our hospital were selected and according to the different operation ways to divide them into two groups,40 cases of laparoscopic group and 40 cases of laparotomy group.The changes of BP and HR in both group during the operation for adrenal pheochromocytoma resection were recorded and compared. Results： The operation time of laparoscopic group（ 98. 15 ± 9. 59min） was shorter than that of laparotomy group（ 118. 15 ± 14. 05min）,（ t =- 7. 44,P = 0. 000）. Intraoperative fluctuation of BP and HR during the operation in laparoscopic group was lower than that of laparotomy group（ P〈0. 05）. Conclusions： Laparoscopic adrenal pheochromocytoma resection shows the advantage of shorter operation time and stable intraoperative BP and HR changes than those of traditional laparotomy way at Xining region.