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摘要: 目的:探索后腹腔镜肾上腺皮质腺瘤术后出现低钾血症的影响因素。方法:回顾性分析37例库欣综合征肾上腺皮质腺瘤患者的临床资料及随访情况。分为2组,非低钾血症组12例和低钾血症组(术后测血钾< 3.5 mmol/ L)25例,比较两组年龄、病程、体重指数、术前糖皮质激素水平、肿瘤大小、手术当日激素替代量和补钾量及术后肠功能恢复时间。并复习相关文献。结果: 37例均行后腹腔镜肾上腺皮质腺瘤切除术,术后病理显示肾上腺皮质腺瘤。两组年龄、肿瘤大小、术前糖皮质激素水平、手术当日激素替代量和补钾量、术后肠功能恢复时间比较差异无统计学意义(P＞0.05)。但病程、体重指数差异有统计学意义(P＜0.05)。所有患者术后随访1~3个月,血钾均正常。结论:后腹腔镜肾上腺皮质腺瘤术后出现低钾血症与病程、体重指数相关。术前了解和评估患者血钾水平,及时补钾可以很好避免术后低钾血症的发生。本组术前存在的低血钾状态的病例,术后都有明显的改善。Abstract: Objective:Exploration after laparoscopic adrenal adenoma postoperative factors affecting hypokalemia. Method:Retrospective analysis of 37 cases of Cushing's syndrome adrenal adenoma clinical data and follow-up situation. Divided into two groups, 12 cases of non-hypokalemia and hypokalemia group (measured after potassium 3.5 mmol/L) 25 cases, compared two groups of age, disease duration, body mass index, preoperative glucocorticoid levels, tumor size, hormone replacement surgery the day the amount of potassium and the amount of recovery time and postoperative bowel function. And review of the literature. Result:37 cases underwent laparoscopic resection of adrenal adenoma, adrenal adenoma pathology shows. Two groups of age, tumor size, preoperative glucocorticoid levels, the amount of the day of surgery and hormone replacement potassium loss, postoperative intestinal function recovery time, no significant difference (P>0.05). But the course of disease, body mass index were significantly different (P<0.05). All patients were followed up 1 to 3 months, serum potassium were normal.Conclusion:Laparoscopic adrenal adenoma and hypokalemia postoperative course of the disease, body mass index. Understanding and assessment of patients with preoperative serum potassium levels, potassium can be a good time to avoid the occurrence of postoperative hypokalemia. The preoperative presence of low potassium status of the cases, significant improvement after surgery.
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Key words:
- after laparoscopic surgery /
- cushing's syndrome /
- adrenal adenoma /
- hypokalemia
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