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腹腔镜肾上腺全切除术与部分切除术治疗原发性醛固酮增多症的疗效比较

霍勇 杨德峰 苏翼 王龙 王更轩

腹腔镜外科杂志2011,Vol.16Issue(2):129-130,2.
腹腔镜外科杂志2011,Vol.16Issue(2):129-130,2.DOI:10.3969/j.issn.1009-6612.2011.02.018

腹腔镜肾上腺全切除术与部分切除术治疗原发性醛固酮增多症的疗效比较

Comparison of therapeutic effect between laparoscopic adrenalectomy and partial adrenalectomy in treatment of primary hyperaldosteronism

霍勇 1杨德峰 1苏翼 1王龙 1王更轩1

作者信息

  • 1. 单县东大医院,山东,单县,274300
  • 折叠

摘要

Abstract

Objective: To investigate the therapeutic effect of laparoscopic adrenalectomy and partial adrenalectomy in treatment of primary hyperaldosteronism. Methods:The clinical data of 79 patients with primary hyperaldosteronism were retrospectively analyzed.47 patients were performed laparoscopic adrenalectomy, and 32 patients underwent partial adrenalectomy. The recovery of hypertension and hypopotassemia were analyzed. Results:Seventy-nine retroperitoneal operations were successful. The operative time was 22-115rmin,the mean was (43 ± 5 )min ,the intraoperative blood loss was 15-80ml, with the average of 35ml. 10 cases were adrenal multiple adenoma which were proved by pathological examination. The time for symptom recovery was longer after partial adrenalectomy. Conclusions:Laparoscopic adrenalectomy should be the first choice for the treatment of primary hyperaldosteronism.

关键词

原发性醛固酮增多症/肾上腺肿瘤/肾上腺切除术/腹腔镜检查

Key words

Primary hyperaldosteronism/ Adrenal gland neoplasms/ Adrenalectomy/ Laparoscopy

分类

医药卫生

引用本文复制引用

霍勇,杨德峰,苏翼,王龙,王更轩..腹腔镜肾上腺全切除术与部分切除术治疗原发性醛固酮增多症的疗效比较[J].腹腔镜外科杂志,2011,16(2):129-130,2.

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