马军民

[摘要] 目的 对52例后腹腔镜肾上腺肿瘤切除术患者进行临床分析。方法 于2012年4月—2017年4月之间，方便选取52例在该院进行肾上腺肿瘤切除术的患者，对其手术过程进行回顾性分析，研究患者术后恢复情况以及有无手术后并发症发生情况。结果 52例患者均顺利通过手术，平均手术时间为（70.1±2.3）min，平均出血量为（80.7±10.1）mL，平均住院时间为（3.7±0.5）d。手术过程中，患者均未出现不良反应，以及胆、肾、肝管等损伤。手术后无伤口出血、感染患者。均无因失血过多进行输血患者，未出现服用镇痛药患者。出院后对患者进行随访，患者的身体恢复较好，各激素分泌正常，血压较为稳定。经影像学检查，无肿瘤复发以及转移患者。结论 采用后腹腔镜肾上腺肿瘤切除术，手术切口以及术中出血量较少，患者手术后未出现并发症，临床效果显著，值得临床广泛推广。

[关键词] 后腹腔镜；肾上腺肿瘤切除术；临床分析

[中图分类号] R737.11 [文献标识码] A [文章编号] 1674-0742（2018）02（b）-0072-03

[Abstract] Objective This paper tries to explore the clinical analysis of 52 patients with retroperitoneal laparoscopic adrenalectomy. Methods Between April 2012 and April 2017， 52 patients undergoing adrenalectomy in the hospital were convenient selected and retrospectively analyzed. The postoperative recovery and the conditions of postoperative complications were explored. Results All 52 patients passed the surgery successfully. The mean operation time was （70.1±2.3） min. The average bleeding amount was（80.7±10.1）mL. The mean hospital stay was（3.7±0.5） d. During surgery， patients did not appear adverse reactions， as well as gallbladder， kidney， liver and other injuries. No wound bleeding after surgery， patients infected. No bleeding due to excessive blood transfusion patients， patients did not appear to take analgesics. Patients were followed up after discharge. The patient's body recovered better with the normal secretion of hormones and the fairly stability of blood pressure. After imaging examination， there were no tumor recurrence and metastasis of patients. Conclusion The use of retroperitoneal laparoscopic adrenalectomy， surgical incision and less blood loss， no complications after surgery， the clinical effect is significant. It is widely recommended in clinical practice.

[Key words] Retroperitoneal laparoscopy； Adrenalectomy； Clinical analysis

腎上腺是人体的一种内分泌器官，分泌的皮质激素约有40多种。肾上腺肿瘤是由于某一细胞在基因水平上，不能进行正常调控，引起其克隆性异常增长，最终形成肿瘤[1]。肾上腺的生理功能较多，不同位置生长的肿瘤会引起相应激素分泌过多，进而表现出不同的临床症状。常见的功能性肾上腺肿瘤有皮质醇症、醛固酮症、肾上腺性征异常症。临床医学将肿瘤分为良恶性，良性的肾上腺肿瘤较为常见，恶性肾上腺肿瘤较为少见，外形大于良性肿瘤，重量较大，肾上腺组织被破坏，并浸润周围组织，或转移到腹主动脉淋巴结，血行至肺、肝处[2]。……