【摘要】 目的探讨肾错构瘤破裂出血患者采用手术切除和介入栓塞治疗的临床效果和围术期指标。方法选取2012年5月至2017年5月150例肾错构瘤破裂出血患者,采用随机数法将患者随机分为观察组与对照组,每组75例。对照组患者接受手术切除治疗,观察组患者接受介入栓塞治疗。观察并比较两组患者临床疗效,围术期指标(手术时间、止痛剂使用量、住院时间、正常活动恢复时间),并发症发生情况(发烧、恶心呕吐、血尿、肝功能异常)。结果两组患者治疗总有效率、手术时间比较,差异未见统计学意义(P>0.05);观察组患者止痛剂使用量低于对照组,住院时间、正常活动恢复时间短于对照组,组间比较差异有统计学意义(P<0.05);观察组患者发烧、恶心呕吐、血尿、肝功能异常发生率均低于对照组,差异有统计学意义(P<0.05)。结论肾错构瘤破裂出血患者介入栓塞治疗可达到与手术切除治疗相当的临床效果,且能够促进患者恢复,缩短住院时间,减少止痛药的使用,并发症少。该方法具有较高的临床应用价值,值得应用推广。更多还原

【Abstract】 Objective To investigate the clinical efficacy and perioperative indicators of surgical resection and interventional embolization in patients with rupture and hemorrhage of renal hamartoma.Methods One hundred and fifty patients renal hamartoma from May 2012 to May 2017 in our hospital were randomly divided into observation group(75 cases) and control group(75 cases).The control group received surgical resection and the observation group received interventional embolization treatment.The clinical curative effect,perioperative indicators(operation time,analgesic usage,length of hospital stay,the normal activity of recovery time) and complications(fever,nausea and vomiting,blood in the urine,liver function is abnormal) were compared.Results There was no significant difference between the two groups in total effective rate or operative time(P>0.05).The dosage of analgesics in the observation group was lower than that in the control group,and the duration of hospitalization and normal activity recovery time was shorter than that in the control group,there were significant differences between the groups(P<0.05).The incidences of fever,nausea and vomiting,hematuria and liver dysfunction in the observation group were lower than those in the control group,and there were significant differences(P<0.05).Conclusions Renal hamartoma rupture hemorrhage treated by the interventional embolization may achieve the same clinical effect surgical removal,and which can promote patients recovery,shorten hospital stay,reduce the use of painkillers,and reduce the complications.This method has high clinical value and is worthy of application.更多还原