CAJ | 학술논문

目的探讨肝硬化合并难治性肝腹水的临床治疗方法。方法回顾性分析2010年10月至2012年10月在我院诊治的138例肝硬化合并难治性肝腹水患者的临床资料，将其随机分为两组，对照组69例患者采用常规治疗，治疗组69例患者采用常规治疗联合自身腹水超滤浓缩回输，对比分析两组患者的临床疗效。结果经综合治疗后对照组的总有效率为71%，治疗组的总有效率为92.8%，两组疗效比较有显著性差异（P ＜0.05）。结论肝硬化合并难治性腹水提示肝功能已经到失代偿期，如不积极进行干预治疗患者预后差；应用自身腹水浓缩回输术治疗临床疗效确切，且副作用少，可减轻患者的痛苦，改善其生活质量，是目前治疗难治性腹水最佳方法。
목적탐토간경화합병난치성간복수적림상치료방법。방법회고성분석2010년10월지2012년10월재아원진치적138례간경화합병난치성간복수환자적림상자료，장기수궤분위량조，대조조69례환자채용상규치료，치료조69례환자채용상규치료연합자신복수초려농축회수，대비분석량조환자적림상료효。결과경종합치료후대조조적총유효솔위71%，치료조적총유효솔위92.8%，량조료효비교유현저성차이（P ＜0.05）。결론간경화합병난치성복수제시간공능이경도실대상기，여불적겁진행간예치료환자예후차；응용자신복수농축회수술치료림상료효학절，차부작용소，가감경환자적통고，개선기생활질량，시목전치료난치성복수최가방법。
Objective To explore the clinical treatment of liver cirrhosis with refractory ascites. Methods Were retrospectively analyzed in October 2010 to October 2012 in our hospital diagnosis and treatment of 138 cases of hepatocirrhosis with intractable liver ascites in patients with clinical data, It were randomly divided into two groups, The control group 69 cases were by routine therapy,The treatment group 69 cases were treated by routine therapy in combination with its own ascites ultrafiltration concentration back to lose,Comparative analysis of the clinical efficacy of two groups of patients. Result After comprehensive treatment in the control group total effective rate was 71%, the total effective rate was 92.8%in treatment group, two groups of curative effect is more significant difference (P < 0.05). conclusion Hepatocirrhosis with intractable ascites prompt liver function had to decompensation period, if not a positive intervention treatment of patients with poor prognosis;Application of self ascites reinfusion treatment clinical curative effect,and less side effect, can reduce the pain of patients, improve their quality of life, is the best method in the treatment of refractory ascites.