单孔腹腔镜与后腹腔镜肾上腺切除术后护理的分析与比较

摘要

目的 对比单孔腹腔镜与后腹腔镜肾上腺肿物切除术后的护理.方法 将肾上腺肿物需行手术治疗的患者按手术方法不同分为单孔腹腔镜组和后腹腔镜组,统计并分析手术时间、术中失血量、术后引流管的留置时间,术后患者下床活动的时间,排气的时间,以及患者术后住院日等.结果 单孔腹腔镜组患者在术中失血量、术后患者下床活动时间及排气时间方面均优于后腹腔镜组患者.结论 单孔腹腔镜肾上腺切除术在保证疗效的前提下,具有创伤小,疤痕小,术中出血少,患者恢复快等优势,减轻了患者痛苦,降低了护理难度,提高了医疗护理工作效率,为肾上腺肿物的微创手术治疗提供了崭新的思路.%Objective To compare the nursing effect between single-port laparoscopic adrenalectomy and retroperitoneal laparoscopic adrenalectomy.Methods Patients who will accept adrenalectomy were divided into single-port laparoscopic group and retroperitoneal laparoscopic group according to different operation methods, then following variables were investigated and analyzed: the time of operation, the volume of blood loss, the time of drainage tube detained, the time of the patients leaving their beds, the time of bowel moved, the days of the patients stay in hospital after operation.Results Single-arch coparoscopic groups of patients peri-operatine bleeding and postoper ative patients off the bed time and exhanst timer was better than the control groups.Conclusions Based on the premise that curative effect be ensured, the single-port laparoscopic adrenalectomy reduces the painful feeling of patients, reduces the difficulties of nursing, it improves medical and nursing efficiency, it provides new way of laparoscopic therapy about adrenal tumor.