摘要
目的:探讨后腹腔镜治疗腺瘤型皮质醇增多症的临床价值。方法:对59例腺瘤型皮质醇增多症患者行后腹腔镜手术治疗,其中行肾上腺全切术19例,肾上腺部分切除术40例,术后均辅以激素替代疗法。结果:59例均手术成功,随访6～24个月,全部患者临床症状均有不同程度的缓解,术后无肾上腺皮质功能不全现象发生。结论:后腹腔镜下行肾上腺全切或部分切除术治疗腺瘤型皮质醇增多症,安全性和疗效肯定,术后辅以改良激素替代疗法安全有效。
Objective To evaluate the clinical efficacy of retroperitoneal laparoscopic adrenalectomy for Cushing syndrome with adrenaladenoma. Methods Fifty-nine patients（4 males and 55 females） who under went retroperitonel laparoscopic adrenalectomy for Cushing syndrome with adrenaladenoma were enrolled in this study.Among them ,19 cases underwent total adrenalectomy and 40 cases underwent partial adrenalectomy.All the cases were adopted the improved cortieoid substitution therapy. Results Surgery was successfully per- formed in all the patients. All cases were followed up from 6 months to 24 months. The clinical symptoms of all cases relieved in varying degrees, without any postoperative adrenal insufficiency phenomenon. Conclusion Retroperitoneal laparoscopic partial or total adrenalectomy for treatment of Cushing syndrome with adrenaladeno- ma is reliable and safe, besides, postoperative improved corticoid substitution therapy is safe and effective.
出处
《中国中西医结合外科杂志》
CAS
2012年第6期566-568,共3页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
