CAJ | 학술논문

目的比较经皮肾膀胱支架管置入术与肾造瘘术用于肾盂积水治疗的临床效果,探讨2种方法的可行性及安全性.方法将32例因晚期盆、腹腔恶性肿瘤导致的肾盂积水病例完全随机分为观察组(17例)与对照组(15例).观察组采用经皮肾膀胱支架管置入术,对照组采用肾造瘘术,比较2组手术的治疗效果及安全性.结果 2组手术方法均一次操作成功.观察组治愈5例(29.4％),有效8例(47.1％),无效4例(23.5％)；对照组治愈3例(20.0％),有效7例(46.7％),无效5例(33.3％)；观察组与对照组在疗效上的差异无统计学意义(x2=0.38,P ＞0.05).观察组患者术后未出现发烧、腰部疼痛、伤口感染等并发症,血尿持续时间较对照组短,与对照组的差异具有统计学意义[(2±1)d比(5±1)d,P＜0.05].结论对于晚期盆、腹腔恶性肿瘤导致的肾盂积水患者,经皮肾膀胱支架管置入术与肾造瘘术的临床疗效无明显差异,且副作用较少.
목적 비교경피신방광지가관치입술여신조루술용우신우적수치료적림상효과,탐토2충방법적가행성급안전성.방법 장32례인만기분、복강악성종류도치적신우적수병례완전수궤분위관찰조(17례)여대조조(15례).관찰조채용경피신방광지가관치입술,대조조채용신조루술,비교2조수술적치료효과급안전성.결과 2조수술방법균일차조작성공.관찰조치유5례(29.4％),유효8례(47.1％),무효4례(23.5％)；대조조치유3례(20.0％),유효7례(46.7％),무효5례(33.3％)；관찰조여대조조재료효상적차이무통계학의의(x2=0.38,P ＞0.05).관찰조환자술후미출현발소、요부동통、상구감염등병발증,혈뇨지속시간교대조조단,여대조조적차이구유통계학의의[(2±1)d비(5±1)d,P＜0.05].결론 대우만기분、복강악성종류도치적신우적수환자,경피신방광지가관치입술여신조루술적림상료효무명현차이,차부작용교소.
Objective To observe the clinical effects of nephrostomy and subcutaneous bladder stent.Methods To compare the success rate of surgery and patients recovery.32 patients were randomly divided into a control group( 15 cases,Nephrostomy)and an experimental group( 17 eases,Renal bladder stents tube,percutaneous).Results Both operations were successful.The cure/effective/invalid patients of the experimental group were 5/8/4,while the control group were 3/7/5,showing statistically significant (P ＞ 0.05 ).The experimental group were not presented with fever,back pain,wound infection and other complications.Hematuria of the observation group was shorter than the control group [ (2 ± 1 ) d vs (5 ± 1 ) d,P ＜ 0.05 ].Conclusion Renal bladder stents tube is safe,simple and effective.