摘要
目的探讨60岁及以上嗜铬细胞瘤患者围手术期特点。方法回顾性收集2008年1月至2018年10月期间我院收治的接受经腹腔镜腹膜后入路肾上腺切除术治疗嗜铬细胞瘤患者的年龄、性别、肿瘤大小、麻醉时间、术中出血量、术中血压、术后并发症以及住院时间等资料,分析患者年龄与术中血流动力学不稳定(HI)及术后并发症的关系。结果符合入选标准的嗜铬细胞瘤患者203例,年龄≥60岁(OR=1.771,95%CI=1.015~3.089,P=0.044)是术中HI的独立危险因素。结论经腹腔镜腹膜后入路肾上腺切除术对于年龄≥60岁的嗜铬细胞瘤患者依然是一种安全的手术方法。对于老年嗜铬细胞瘤患者,尤其是对于肿瘤直径≥5 cm的患者,应特别注意预防术中高血压危象的发生。
Objective To investigate the clinical characteristics during the perioperative period of pheochromocytoma in patients aged 60 years and over.Methods Data of age,sex,tumor size,anesthesia time,intraoperative bleeding volume,intraoperative blood pressure,complications and hospitalization time from patients with pheochromocytoma in our hospital treated by the retroperitoneal laparoscopic adrenalectomy from January 2008 to October 2018 were retrospectively analyzed.The relationships of age with the intraoperative hemodynamic instability and postoperative complications were analyzed.Results A total of 203 patients with pheochromocytoma met the inclusion criteria were enrolled.Age over 60 years(OR1.771,95%CI=1.015-3.089,P=0.044)was an independent risk factor for intraoperative hemodynamic instability.Conclusions Laparoscopic retroperitoneal adrenalectomy is a safe surgical method for pheochromocytoma patients aged 60 years and over.For elderly patients with pheochromocytoma,especially those with a tumor diameter of more than 5 cm,special attention should be paid to the prevention of intraoperative hypertension crisis.
作者
朱伟
王少刚
杜广辉
刘海浪
陆金金
杨为民
Zhu Wei;Wang Shaogang;Du Guanghui;Liu Hailang;Lu Jinjin;Yang Weimin(Department of Urology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2019年第11期1278-1281,共4页
Chinese Journal of Geriatrics
基金
国家自然科学基金(81573776)。
关键词
嗜铬细胞瘤
围手术期
Pheochromocytoma
Perioperative period
作者简介
通信作者:杨为民,E-mail:wmyang@tjh.tjmu.edu.cn。
