本文選題：腹腔鏡 + 腎上腺�。� 參考：《安徽醫(yī)科大學》2015年碩士論文

【摘要】：目的比較3D腹腔鏡與傳統(tǒng)(2D)腹腔鏡技術在腎上腺腫瘤手術的療效。對術中指標和術后指標進行對比,針對兩種手術模式就其不同之處進行探究。探討3D腹腔鏡在腎上腺腫瘤手術中的應用價值。方法2012年12月至2013年8月應用腹腔鏡手術治療腎上腺腫瘤55例。對行3D腹腔鏡腎上腺手術患者30例(3D組)與同期行傳統(tǒng)2D腹腔鏡腎上腺手術患者25例(2D組)的手術時間、術中出血量、輸血情況、術后引流量、術后住院天數(shù)、術后病理分布、住院費用進行比較。結果55例手術全部成功,手術時間55~125 min,其中3D腹腔鏡組60±19min(55~125 min),2D腹腔鏡組68±24min(60~120 min),發(fā)現(xiàn)這兩組數(shù)據(jù)之間的差別有著明顯的統(tǒng)計學意義(P0.05);術中出血量為10~150 ml,其中3D腹腔鏡組25±14 ml(15~100 m1),2D腹腔鏡組34±17 ml(20~90 m1),兩組差別具有統(tǒng)計學意義(P0.05),所有手術病人均無輸血。55例患者術后住院3~9天,其中3D腹腔鏡組3~6天,2D腹腔鏡組3~7天,差別無統(tǒng)計學意義(P0.05)。兩組患者均未出現(xiàn)嚴重并發(fā)癥。所承擔的住院費用大約為19654±807.3元,另外2D腹腔鏡組19593±823元,3D腹腔鏡組19789±786元,兩組差別不具備統(tǒng)計學意義。結論3D腹腔鏡技術較傳統(tǒng)2D腹腔鏡技術在空間定位及深度感覺上有明顯優(yōu)勢,一定程度上降低手術難度,縮短手術時間,同時不增加患者的經(jīng)濟負擔,是一項值得推廣的新技術。
[Abstract]:Objective to compare the effect of 3 D laparoscopy and 2 D laparoscopy in adrenal tumor surgery. Compare the intraoperative and postoperative indexes and explore the differences between the two modes. To evaluate the value of 3 D laparoscopy in adrenal tumor surgery. Methods from December 2012 to August 2013, 55 cases of adrenal tumors were treated with laparoscopic surgery. The operative time, intraoperative blood loss, blood transfusion, postoperative drainage, postoperative hospitalization, postoperative pathological distribution and postoperative pathological distribution of 30 patients undergoing 3D laparoscopic adrenal surgery and 25 patients undergoing traditional laparoscopic adrenal surgery were compared. The cost of hospitalization was compared. Results all the operations were successful. The operation time was 55 ~ 125 minutes, of which the 3D laparoscopic group was 60 鹵19min(55~125 / min and the 2D laparoscopic group was 68 鹵24min(60~120 / min. The difference between the two groups was statistically significant (P 0.05), and the intraoperative bleeding was 10150ml, including 25 鹵14 ml(15~100 / ml 2D laparoscopy group (34 鹵17 ml(20~90 ml), and the two groups were divided into two groups: the 3D laparoscopic group (25 鹵14 ml(15~100 / ml) and the 2D laparoscopic group (34 鹵17 ml(20~90 / ml). The difference between the two groups was statistically significant (P 0.05). No blood transfusion was found in all the patients. 55 patients were hospitalized for 3 to 9 days after operation. There was no significant difference between 3D laparoscopic group and 2D laparoscope group (P 0.05). There were no serious complications in both groups. The cost of hospitalization was about 19654 鹵807.3 yuan and that of 2D laparoscopy group was 19593 鹵823 yuan and that of 3D laparoscopy group was 19789 鹵786.There was no significant difference between the two groups. Conclusion 3D laparoscopy has obvious advantages over traditional 2D laparoscopy in space location and depth feeling. It can reduce the difficulty of operation and shorten the operation time to some extent, and at the same time, it does not increase the economic burden of patients. It is a new technology worth popularizing.
【學位授予單位】：安徽醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R736.6

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