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目的提高后腹腔镜肾上腺手术治疗ACTH非依赖性皮质醇增多症患者的临床经验。方法对确诊的52例因肾上腺腺瘤引起的ACTH非依赖性皮质醇增多症患者行后腹腔镜下肾上腺肿瘤切除术。结果50例成功施行腹腔镜下手术，2例改开放手术，平均肿瘤直径2.2 cm（2～4.5 cm）。病理检查示52例为肾上腺腺瘤，手术以切除肾上腺腺瘤为主；术后平均随访11.4个月（6～27个月），52例患者均未见有复发。结论腹腔镜下治疗肾上腺腺瘤引起的ACTH非依赖性皮质醇增多症患者，主要以切除腺瘤为主，具有损伤小、恢复快、出血时间少等优点,可作为肾上腺疾病的首选治疗方法。
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更新时间：2017-01-05
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后腹腔镜手术治疗促肾上肾皮质激素非依赖性皮质醇增多症（附52例报告）
Retroperitoneal laparoscopic adrenalectomy in the treatment of ACTH-independent hypercortisolism (52 cases report)
微创医学 201606期 页码：855-856+872
作者机构：广西医科大学第一附属医院泌尿外科，南宁市530021
基金信息：作者简介：黄海鹏（1978～），男，硕士，主治医师，研究方向：肾上腺肿瘤的临床诊疗。
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ObjectiveTo improve the clinical experiences of retroperitoneal laparoscopic adrenalectomy in the treatment of ACTH-independent hypercortisolism. MethodsA total of fifty-two patients with ACTH-independent hypercortisolism(induced by adrenal adenoma) were performed by retroperitoneal laparoscopic adrenalectomy. ResultsFifty patients were successfully performed by laparoscopic adrenalectomy,two patients were transferred to open surgery;The mean tumor diameter was 2.2cm(2-4.5cm). Fifty-two patients were confirmed with adrenal adenoma by pathology.The main aim of the treatment was to remove the adrenal adenoma.The mean follow-up time was 11.4 months(6-27months).No recurrence was found in all patients. ConclusionsThe therapeutic aim of laparoscopic adrenalectomy in the treatment of patients with ACTH-independent hypercortisolism was mainly to remove the adrenal adenoma,which have the advantages of less injury,recover quickly,less bleeding as the primary method for adrenal diseases.
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