中国医药
中國醫藥
중국의약
CHINA MEDICINE
2009年
1期
59-60
,共2页
吴丰学%易贤林%代凌云%赵春虎%王明岗
吳豐學%易賢林%代凌雲%趙春虎%王明崗
오봉학%역현림%대릉운%조춘호%왕명강
肾损伤%保守治疗%手术治疗
腎損傷%保守治療%手術治療
신손상%보수치료%수술치료
Kidney injury%Nonoperative treatment%Operation
目的 探讨中、重度肾损伤的诊治方法及效果.方法 回顾性分析79例中重度肾损伤患者的临床诊治资料;按治疗方法分为保守治疗组49例和手术治疗组30例,对2组结果进行比较分析.结果 保守治疗组中46例肾保留,3例肾切除,肾保留率93.9%;手术治疗组中4例肾保留,26例肾切除,肾保留率13.3%.保守治疗组较手术治疗组输血量少,差异有统计学意义(P＜0.05).结论 保守治疗与手术治疗中重度肾损伤的疗效相仿,但保守治疗肾保留率更高,输血量更少.
目的 探討中、重度腎損傷的診治方法及效果.方法 迴顧性分析79例中重度腎損傷患者的臨床診治資料;按治療方法分為保守治療組49例和手術治療組30例,對2組結果進行比較分析.結果 保守治療組中46例腎保留,3例腎切除,腎保留率93.9%;手術治療組中4例腎保留,26例腎切除,腎保留率13.3%.保守治療組較手術治療組輸血量少,差異有統計學意義(P＜0.05).結論 保守治療與手術治療中重度腎損傷的療效相倣,但保守治療腎保留率更高,輸血量更少.
목적 탐토중、중도신손상적진치방법급효과.방법 회고성분석79례중중도신손상환자적림상진치자료;안치료방법분위보수치료조49례화수술치료조30례,대2조결과진행비교분석.결과 보수치료조중46례신보류,3례신절제,신보류솔93.9%;수술치료조중4례신보류,26례신절제,신보류솔13.3%.보수치료조교수술치료조수혈량소,차이유통계학의의(P＜0.05).결론 보수치료여수술치료중중도신손상적료효상방,단보수치료신보류솔경고,수혈량경소.
Objective To observe the diagnosis and treatment of patients with moderate and severe renal trauma.Methods Seventy-nine cases of renal trauma were retrospectively analysed.Fony-nine patients with American Association for the Surgery of Trauma kidney injury scale Ⅲ and Ⅳ were treated with nonoperative treatment and 30 patients were treated with operation.Results In Nonoperative treatment group,46 patients reserved their kidney.Conclusion Nonoperative treatment is a reasonable option for patients with blunt renal injury as well as the hemodynamieally stable patients with penetrating renal injury.The open wound can be closed at the first stage.
