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目的:探讨肾上腺增生性高血压的后腹腔镜手术治疗方法及其疗效。方法:回顾分析我院2004-2008年在后腹腔镜下施行单侧肾上腺切除治疗肾上腺增生性高血压52例患者的临床资料,其中左侧42例,右侧5例,双侧5例,男25例,女27例,平均年龄(45.1±4.9)岁。结果:52例由腹腔镜完成,手术时间50～100min,平均(68.1±12.2)min,术中出血量10～100mL,平均(32.7±8.2)mL,住院时间3～8d,平均(5.2±2.1)d。随访6～48个月,平均(12.4±2.4)个月,无死亡患者,治愈23例(44.2%),好转24例(46.2%),无效5例(9.6%)。结论:应用后腹腔镜术治疗肾上腺增生安全、创伤小、住院时间短、恢复快,是治疗肾上腺性高血压安全、有效的方法。
Objective: To investigate the retroperitoneal laparoscopic surgical treatment of adrenal hyperplastic hypertension and its curative effect. Methods: The clinical data of 52 patients with adrenal hyperplastic hypertension treated by retroperitoneal laparoscopy in our hospital from 2004 to 2008 were retrospectively analyzed. Among them, there were 42 cases on the left, 5 cases on the right and 5 cases on both sides, male 25 cases and 27 females, mean age (45.1 ± 4.9) years. Results: 52 cases were completed by laparoscopy, the operation time was 50 ~ 100min, the average was 68.1 ± 12.2min, the blood loss was 10 ~ 100mL, the average was 32.7 ± 8.2mL, the length of stay was 3 ~ 8d, the average was 5.2 ± 2.1 d. All cases were followed up for 6 ~ 48 months, with an average of (12.4 ± 2.4) months. No patients died, 23 were cured (44.2%), 24 were improved (46.2%) and 5 were ineffective (9.6%). Conclusion: The retroperitoneal laparoscopic treatment of adrenal hyperplasia is safe, less traumatic, shorter hospital stay and faster recovery. It is a safe and effective method for the treatment of adrenal hypertension.