CAJ | 학술논문

目的：评价硝酸银肾盂冲洗两种不同方法治疗乳糜尿的临床效果。方法选择我院2000年9月~2009年9月91例乳糜尿患者，采用硬币随机法选择治疗方式，并根据治疗方式不同分为两组，其中采用灌注冲洗法的40例患者设为硝酸银灌注组，采用滴注冲洗的51例患者为滴注组，比较两组治愈率，所有患者均随访5年，记录随访期间复发情况及复发时间。结果灌注组治愈率为60.00%，滴注组治愈率为80.39%，两组比较差异具有统计学意义(P <0.05)。灌注组平均复发时间(11.4±3.7)个月，滴注组平均复发时间(19.6±4.3)个月，两组比较差异具有统计学意义(P <0.05)。结论硝酸银肾盂滴注冲洗时压力恒定，药物可均匀作用于病灶处，在治疗乳糜尿中疗效优于灌注冲洗法。
목적：평개초산은신우충세량충불동방법치료유미뇨적림상효과。방법선택아원2000년9월~2009년9월91례유미뇨환자，채용경폐수궤법선택치료방식，병근거치료방식불동분위량조，기중채용관주충세법적40례환자설위초산은관주조，채용적주충세적51례환자위적주조，비교량조치유솔，소유환자균수방5년，기록수방기간복발정황급복발시간。결과관주조치유솔위60.00%，적주조치유솔위80.39%，량조비교차이구유통계학의의(P <0.05)。관주조평균복발시간(11.4±3.7)개월，적주조평균복발시간(19.6±4.3)개월，량조비교차이구유통계학의의(P <0.05)。결론초산은신우적주충세시압력항정，약물가균균작용우병조처，재치료유미뇨중료효우우관주충세법。
Objective To evaluate the clinical efficacy of two different methods of renal pelvis lavage with silver nitrate in treatment of chyluria. Methods Ninety- one cases of chyluria cared at our hospital from September 2000 to September 2009 received therapeutic regimen by coin random choice method,and were di-vided into two groups according to therapeutic regimen.Forty patients of them underwent the irrigation meth-od were in silver nitrate irrigation group,and 5 1 patients of them received drip infusion were in silver nitrate dripping group.Cure rate of two groups were compared.All of the patients were followed up for 5 years,re-cording the recurrence status and time during follow-up. Results The response rate of irrigation group was 60.00%,and the response rate of dripping group was 80.39%.There was statistically significant difference be-tween two groups (P <0.05).The average recurrence time of reperfusion group was (1 1.4 ±3.7)months, and the average recurrence time of infusion group was (1 9.6 ± 4.3)months.Comparison of the two groups showed statistically significant difference (P <0.05). Conclusion Curative effectiveness of renal pelvis irri-gation method with silver nitrate dripping,which irrigation pressure was constant and drug distributed uni-formly on the lesion,were better than that of irrigation in the treatment of chyluria.