CAJ | 학술논문

目的：对比肾错构瘤破裂出血手术切除与结合介入栓塞的疗效。方法：肾错构瘤破裂出血患者48例分为观察组与对照组各24例，对照组采用保留肾组织的肾部分切除术治疗，观察组采用DSA下介入性栓塞治疗。结果：治疗后观察组与对照组的有效率组间对比差异无统计学意义。观察组的术后止痛剂用量、住院时间、恢复正常活动时间及并发症总体发生率都明显少于对照组。两组术后血肌酐值明显降低，组内组间对比差异也有统计学意义。结论：相对于手术切除，介入栓塞治疗肾错构瘤破裂出血对于患者的创伤影响小，能有效促进肾功能的恢复。
목적：대비신착구류파렬출혈수술절제여결합개입전새적료효。방법：신착구류파렬출혈환자48례분위관찰조여대조조각24례，대조조채용보류신조직적신부분절제술치료，관찰조채용DSA하개입성전새치료。결과：치료후관찰조여대조조적유효솔조간대비차이무통계학의의。관찰조적술후지통제용량、주원시간、회복정상활동시간급병발증총체발생솔도명현소우대조조。량조술후혈기항치명현강저，조내조간대비차이야유통계학의의。결론：상대우수술절제，개입전새치료신착구류파렬출혈대우환자적창상영향소，능유효촉진신공능적회복。
Objective To compare the efficacy of surgical resection and embolization for treating renal angio-myolipomawithbleeding.Methods 48casesofrenalangiomyolipomawithbleedingwereequallydividedintothe observation group and control group , the control group were treated with nephron-sparing surgical resection , and the observation group were given Interventional embolization under DSA .Results After treatment, the response rate of the observation group and control group had no significant difference .The postoperative analgesic dosage length of stay time to return to normal activities , the overall incidence complications of observation group were significantly less than the control group .The postoperative serum creatinine values were decreased significantly in and between the groups were statistically significant differences .Conclusion Compared with surgery , embolization for renal an-giomyolipoma rupture has small impact trauma patients that can effectively promote the recovery of renal function .