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目的研究和比较在肾上腺肿瘤患者的手术中经腹腔途径和经后腹膜腔途径的效果。方法收集肾上腺肿瘤患者共102例,所有患者均接受腹腔镜手术,将患者随机分为观察组与对照组,各51例,对照组患者经腹腔途径进行腹腔镜手术,观察组经后腹膜腔途径进行腹腔镜手术,将两组患者的手术时间、术中出血量以及患者满意度进行观察和对比。结果观察组患者的手术时间明显短于对照组,观察组患者的术中出血量显著低于对照组患者,观察组患者的满意度显著高于对照组,P均<0.05。结论在肾上腺肿瘤患者的腹腔镜手术治疗中,采用后腹膜腔途径能够有效缩短手术的时间,降低术中出血量,有利于促进患者康复,值得推广应用。
Objective To study and compare the effects of transperitoneal and trans-peritoneal approaches during surgery for patients with adrenal tumors. Methods A total of 102 patients with adrenal tumors were collected. All patients underwent laparoscopic surgery. The patients were randomly divided into observation group and control group, with 51 cases in each group. The patients in control group were treated by laparoscopy through abdominal cavity. Laparoscopic surgery was performed. The operation time, intraoperative blood loss and patient satisfaction were observed and compared between the two groups. Results The operation time of the observation group was significantly shorter than that of the control group. The intraoperative blood loss of the observation group was significantly lower than that of the control group. The satisfaction of the observation group was significantly higher than that of the control group (P <0.05). Conclusion In the treatment of adrenal tumors in laparoscopic surgery, the use of retroperitoneal approach can effectively shorten the operation time and reduce the amount of intraoperative blood loss, is conducive to promoting patient rehabilitation, it is worth promoting the application.