基础医学与临床 ›› 2014, Vol. 34 ›› Issue (5): 695-698.

• 研究论文 • 上一篇    下一篇

嗜铬细胞瘤10年307例围手术期麻醉临床分析

裴丽坚1,阮侠2,黄宇光1,罗爱伦3,郭文娟1,王蕾1,王科研1,张玉石4,李汉忠5   

  1. 1. 北京协和医院
    2. 中国医学科学院 北京协和医学院 北京协和医院
    3. 中国医学科学院 北京协和医学院 北京协和医院 麻醉科
    4. 中国医学科学院 北京协和医学院 北京协和医院泌尿外科
    5. 中国医学科学院北京协和医学院北京协和医院泌尿外科
  • 收稿日期:2013-12-27 修回日期:2014-03-17 出版日期:2014-05-05 发布日期:2014-04-28
  • 通讯作者: 阮侠 E-mail:sheyaruan@sina.com

Ten years experience of perioperative management of pheochromocytoma: 307 cases

  • Received:2013-12-27 Revised:2014-03-17 Online:2014-05-05 Published:2014-04-28
  • Contact: Xia RUAN E-mail:sheyaruan@sina.com

摘要: 目的 总结近10年北京协和医院手术切除嗜铬细胞瘤麻醉手术经验。方法 北京协和医院1992-09-01~2012-08-31期间手术切除嗜铬细胞瘤461例,按照病历尾号随机采样307例进行回顾性分析。2002-09-01~2012-08-31手术治疗234例作为试验组;1992-09-01~2002-08-31手术治疗73例作为对照组。重点关注术前准备时间、麻醉管理、术中脏器损伤、术后ICU停留时间和术后住院时间等与围术期预后相关的指标近10年的变化。结果 近10年,腹腔镜手术切除嗜铬细胞瘤成为主要手术方式(84.1%),术前准备时间缩短8.9d,引流管拔除时间缩短3.4d,ICU停留时间缩短3d,术后平均住院日缩短8.4d,p<0.01。结论 围术期优化治疗策略,可以明显改善嗜铬细胞瘤切除术围术期预后。

关键词: 嗜铬细胞瘤, 围术期预后

Abstract: Objective To summarize the experience of perioperative management of pheochromocytoma in Peking union medical college hospital in the past decade. Methods 461 cases scheduled for surgical removal of pheochromocytoma were involved in this study. At last, Data from 307 cases were finally analyzed. Cases from September 2002 to august 2012 were treated as an experimental group, while cases from September 1992 to august 2002 were treated as a control group. We just focus on preoperative preparation, intraoperative anesthetic management, intraoperative organ injury, postoperative ICU stay, postoperative hospital stay in the past 10 years. Result In the past 10 years, laparoscopic adrenalectomy for pheochomocytoma accounted for 84.1%. Preoperative preparation time was shortened by 8.9 days, the drainage tube removal time was shortened by 3.4 days, postoperative ICU stay time was shortened by 3 days, postoperative hospital stay time was shortened by 8.4 days, p<0.01. Conclusion Multidisciplinary collaboration to optimize treatment strategies can significantly improve perioperative prognosis of pheochromocytoma.

Key words: pheochromocytoma, perioperative prognosis

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