【摘要】 目的评价硝酸银肾盂冲洗两种不同方法治疗乳糜尿的临床效果。方法选择我院2000年9月~2009年9月91例乳糜尿患者,采用硬币随机法选择治疗方式,并根据治疗方式不同分为两组,其中采用灌注冲洗法的40例患者设为硝酸银灌注组,采用滴注冲洗的51例患者为滴注组,比较两组治愈率,所有患者均随访5年,记录随访期间复发情况及复发时间。结果灌注组治愈率为60.00%,滴注组治愈率为80.39%,两组比较差异具有统计学意义(P<0.05)。灌注组平均复发时间(11.4±3.7)个月,滴注组平均复发时间(19.6±4.3)个月,两组比较差异具有统计学意义(P<0.05)。结论硝酸银肾盂滴注冲洗时压力恒定,药物可均匀作用于病灶处,在治疗乳糜尿中疗效优于灌注冲洗法。更多还原

【Abstract】 Objective To evaluate the clinical efficacy of two different methods of renal pelvis lavage with silver nitrate in treatment of chyluria. Methods Ninety-one cases of chyluria cared at our hospital from September 2000 to September 2009 received therapeutic regimen by coin random choice method,and were divided into two groups according to therapeutic regimen.Forty patients of them underwent the irrigation method were in silver nitrate irrigation group,and 51 patients of them received drip infusion were in silver nitrate dripping group.Cure rate of two groups were compared.All of the patients were followed up for 5years,recording the recurrence status and time during follow-up. Results The response rate of irrigation group was 60.00%,and the response rate of dripping group was 80.39%.There was statistically significant difference between two groups(P <0.05).The average recurrence time of reperfusion group was(11.4±3.7)months,and the average recurrence time of infusion group was(19.6± 4.3)months.Comparison of the two groups showed statistically significant difference(P <0.05). Conclusion Curative effectiveness of renal pelvis irrigation method with silver nitrate dripping,which irrigation pressure was constant and drug distributed uniformly on the lesion,were better than that of irrigation in the treatment of chyluria.更多还原