【医疗动态】城口县人民医院外三科病区成功开展1例腹腔镜下肾上腺肿瘤切除术
<section style="margin: 0px 16px 24px;padding: 0px;outline: 0px;max-width: 100%;color: rgba(0, 0, 0, 0.9);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;font-size: 17px;letter-spacing: 0.544px;text-align: justify;white-space: normal;background-color: rgb(255, 255, 255);text-indent: 2em;line-height: 1.75em;box-sizing: border-box !important;overflow-wrap: break-word !important"><span style=";padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 15px;letter-spacing: 2px">近日，我院外三科病区在山东支医专家公洪伟医生的指导下，完成了1例腹腔镜下肾上腺肿瘤切除术，目前患者术后恢复情况良好。</span></section><p></p><section style="margin: 0px 16px 24px;padding: 0px;outline: 0px;max-width: 100%;color: rgba(0, 0, 0, 0.9);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;font-size: 17px;letter-spacing: 0.544px;text-align: justify;white-space: normal;background-color: rgb(255, 255, 255);text-indent: 2em;line-height: 1.75em;box-sizing: border-box !important;overflow-wrap: break-word !important"><span style=";padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;letter-spacing: 2px;font-size: 15px"> 患者唐某，女，56岁，于2023年8月3日因体检发现肾上腺包块1+月就诊，伴持续性头晕、头痛、双下肢无力，偶感呼吸困难；既往高血压病史7年，最高血压230/100mmHg，规律口服降血压药物，现血压控制尚可，持续反复的症状给患者生活带来巨大痛苦。入院后经过全面检查考虑诊断：肾上腺肿瘤？原发性醛固酮增多症；现患者目前症状、血压升高病因明确后，在支医专家、麻醉科及我科医生讨论后，于2023年8月7日在全麻下行经腹腔镜右肾上腺肿物切除术，完整取出右侧肾上腺肿物，在腹腔镜下彻底止血，术中出血仅仅只有20ml。</span></section><section style="margin: 0px 16px 24px;padding: 0px;outline: 0px;max-width: 100%;color: rgba(0, 0, 0, 0.9);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;font-size: 17px;letter-spacing: 0.544px;text-align: justify;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;box-sizing: border-box !important;overflow-wrap: break-word !important"><span style=";padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 15px">手术现场</span></section><section style="margin: 0px 16px 24px;padding: 0px;outline: 0px;max-width: 100%;color: rgba(0, 0, 0, 0.9);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;font-size: 17px;letter-spacing: 0.544px;text-align: justify;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;box-sizing: border-box !important;overflow-wrap: break-word !important"><span style=";padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 15px">取出的囊肿物，3公分左右，约1个核桃大小。</span></section><section style="margin: 0px 16px 24px;padding: 0px;outline: 0px;max-width: 100%;color: rgba(0, 0, 0, 0.9);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;font-size: 17px;letter-spacing: 0.544px;text-align: justify;white-space: normal;background-color: rgb(255, 255, 255);text-indent: 2em;line-height: 1.75em;box-sizing: border-box !important;overflow-wrap: break-word !important"><span style=";padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 15px;letter-spacing: 2px">腹腔镜下微创手术具有手术时间短、创伤小，术中止血效果佳等优点。患者术后恢复良好，血压平稳，术后第一天便可在陪护协助下下床活动，术后不需口服降血压药物，现血压平稳，连续三天血压监测均在120/85mmHg左右，目前患者仍在外三科恢复治疗，患者及家属对手术非常满意，对医生和护士表示赞赏和感谢。</span></section><section style="margin: 0px 16px 24px;padding: 0px;outline: 0px;max-width: 100%;color: rgba(0, 0, 0, 0.9);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;font-size: 17px;letter-spacing: 0.544px;text-align: justify;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;box-sizing: border-box !important;overflow-wrap: break-word !important"></section><section style="margin: 0px 16px 24px;padding: 0px;outline: 0px;max-width: 100%;color: rgba(0, 0, 0, 0.9);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;font-size: 17px;letter-spacing: 0.544px;text-align: justify;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;box-sizing: border-box !important;overflow-wrap: break-word !important"><span style=";padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 15px">患者术后第一天，状态良好</span></section><section style="margin: 0px 16px 24px;padding: 0px;outline: 0px;max-width: 100%;color: rgba(0, 0, 0, 0.9);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;font-size: 17px;letter-spacing: 0.544px;text-align: justify;white-space: normal;background-color: rgb(255, 255, 255);text-indent: 2em;line-height: 1.75em;box-sizing: border-box !important;overflow-wrap: break-word !important"><span style=";padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 15px"> 肾上腺是一对重要的内分泌腺体，分为皮质和髓质两部分，肾上腺疾病组织学分类的主要类型是肾上腺肿瘤，还包括肾上腺增生、囊肿、结核等。临床多见：皮质醇增多症、原发性醛固酮增多症、嗜铬细胞瘤。</span></section><section style="margin: 0px 16px 24px;padding: 0px;outline: 0px;max-width: 100%;color: rgba(0, 0, 0, 0.9);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;font-size: 17px;letter-spacing: 0.544px;text-align: justify;white-space: normal;background-color: rgb(255, 255, 255);text-indent: 2em;line-height: 1.75em;box-sizing: border-box !important;overflow-wrap: break-word !important"><span style=";padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 15px">原发性醛固酮增多症简称原醛症，是肾上腺皮质分泌过量的醛固酮激素，引起以高血压、低血钾、低血浆肾素活性和碱中毒为主要表现的临床综合征。临床表现有：高血压伴有头痛、头昏、疲乏、视物模糊等，可诱发肌无力、下肢较上肢重，严重者可发生呼吸和吞咽困难，还可导致心肌损害、多尿，尤其是夜间多尿、口渴。约有25%的患者空腹血糖升高。</span></section><section style="margin: 0px 16px 24px;padding: 0px;outline: 0px;max-width: 100%;color: rgba(0, 0, 0, 0.9);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;font-size: 17px;letter-spacing: 0.544px;text-align: justify;white-space: normal;background-color: rgb(255, 255, 255);text-indent: 2em;line-height: 1.75em;box-sizing: border-box !important;overflow-wrap: break-word !important"><span style=";padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 15px">该病症可选择手术治疗和药物治疗：手术治疗是最主要的治疗方法，目的是切除肾上腺肿瘤或增生的肾上腺。</span></section><section style="margin: 0px 16px 24px;padding: 0px;outline: 0px;max-width: 100%;color: rgba(0, 0, 0, 0.9);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;font-size: 17px;letter-spacing: 0.544px;text-align: justify;white-space: normal;background-color: rgb(255, 255, 255);text-indent: 2em;line-height: 1.75em;box-sizing: border-box !important;overflow-wrap: break-word !important"><span style=";padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 15px"> 本例手术的成功开展，标志着我院外三科病区在泌尿外科的治疗上又取得了新的突破和进步。微创手术与传统手术相比，第一是缩小了手术给病人带来的创伤，减少出血量，有利于患者术后的恢复，第二是为患者节约了外出就医的成本及费用，第三，在县内就可以得到良好的治疗，避免患者外出就医的舟车劳顿和家属不方便进行陪护。</span></section><section style="margin: 0px 16px 24px;padding: 0px;outline: 0px;max-width: 100%;color: rgba(0, 0, 0, 0.9);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;font-size: 17px;letter-spacing: 0.544px;text-align: justify;white-space: normal;background-color: rgb(255, 255, 255);text-indent: 2em;line-height: 1.75em;box-sizing: border-box !important;overflow-wrap: break-word !important"><span style=";padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;font-size: 15px">目前，城口县人民医院外三科病区致力于开展泌尿外科各类微创手术，例如腹腔镜下肾切除，前列腺增生等离子电切术，另外还开展神经外科各类微创手术，微创手术已经成为专科特色。</span></section><p></p><p><span style="font-size: 12px;">来源：城口县人民医院</span></p><link rel="stylesheet" href="//bbs.cktcw.cn/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_r7T" id="wcn_editor_css"/> 辛苦啦会越来越好了
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