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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: To compare the effects of laparoscopic adrenal pheochromocytoma excision on blood pressure and heart rate in patients undergoing traditional laparotomy for adrenal pheochromocytoma. Methods: The clinical data of 80 cases of adrenal pheochromocytoma surgically treated in our hospital from June 2010 to June 2015 were analyzed. The changes of blood pressure and heart rate in 40 cases of laparoscopic group and 40 cases of open group were compared. (Intraoperative blood pressure fluctuations in amplitude, heart rate changes, operation time). Results: The operation time of laparoscopic group was shorter than that of laparotomy group (98.15 ± 9.59) min, (118.15 ± 14.05) min, (t = -7.44, P = 0.000) Abdominal group was lower (P <0.05). Conclusion: The changes of intraoperative blood pressure and heart rate during laparoscopic adrenal pheochromocytoma in Xining are more stable than those of conventional laparotomy.