现代肿瘤医学
現代腫瘤醫學
현대종류의학
Journal of Modern Oncology
2015年
22期
3296-3298
,共3页
郑汉雄%汪曾荣%夏昕晖%赵济全%姜海洋%吴炜嘉
鄭漢雄%汪曾榮%夏昕暉%趙濟全%薑海洋%吳煒嘉
정한웅%왕증영%하흔휘%조제전%강해양%오위가
肾错构瘤%破裂出血%手术切除%介入栓塞
腎錯構瘤%破裂齣血%手術切除%介入栓塞
신착구류%파렬출혈%수술절제%개입전새
renal angiomyolipoma%rupture%surgery%embolization
目的:对比手术切除与介入栓塞治疗肾错构瘤破裂出血的疗效。方法:肾错构瘤破裂出血患者90例根据随机数字表法原则分为治疗组与对照组各45例,对照组采用手术肿瘤剜除治疗,治疗组采用介入栓塞治疗。结果:所有患者都顺利完成治疗,两组手术时间进行对比,其差异在统计学上没有意义(P >0.05),然而在术后恢复正常活动时间、术后止痛剂用量以及术后住院时间方面,治疗组都比对照组少(P <0.05)。所有患者术后随访3个月,治疗组与对照组的有效率分别为88.9%和86.7%,都在85.0%以上,组间对比无明显差异(P >0.05)。随访期间患者有恶心呕吐、肝功能异常、血尿、低热等并发症的人数方面,治疗组均比对照组少(P <0.05)。结论:肾错构瘤破裂出血通过栓塞进行治疗能在保持成功率与近远期疗效的基础上,比手术切除更能减少并发症的发生,值得推广应用。
目的:對比手術切除與介入栓塞治療腎錯構瘤破裂齣血的療效。方法:腎錯構瘤破裂齣血患者90例根據隨機數字錶法原則分為治療組與對照組各45例,對照組採用手術腫瘤剜除治療,治療組採用介入栓塞治療。結果:所有患者都順利完成治療,兩組手術時間進行對比,其差異在統計學上沒有意義(P >0.05),然而在術後恢複正常活動時間、術後止痛劑用量以及術後住院時間方麵,治療組都比對照組少(P <0.05)。所有患者術後隨訪3箇月,治療組與對照組的有效率分彆為88.9%和86.7%,都在85.0%以上,組間對比無明顯差異(P >0.05)。隨訪期間患者有噁心嘔吐、肝功能異常、血尿、低熱等併髮癥的人數方麵,治療組均比對照組少(P <0.05)。結論:腎錯構瘤破裂齣血通過栓塞進行治療能在保持成功率與近遠期療效的基礎上,比手術切除更能減少併髮癥的髮生,值得推廣應用。
목적:대비수술절제여개입전새치료신착구류파렬출혈적료효。방법:신착구류파렬출혈환자90례근거수궤수자표법원칙분위치료조여대조조각45례,대조조채용수술종류완제치료,치료조채용개입전새치료。결과:소유환자도순리완성치료,량조수술시간진행대비,기차이재통계학상몰유의의(P >0.05),연이재술후회복정상활동시간、술후지통제용량이급술후주원시간방면,치료조도비대조조소(P <0.05)。소유환자술후수방3개월,치료조여대조조적유효솔분별위88.9%화86.7%,도재85.0%이상,조간대비무명현차이(P >0.05)。수방기간환자유악심구토、간공능이상、혈뇨、저열등병발증적인수방면,치료조균비대조조소(P <0.05)。결론:신착구류파렬출혈통과전새진행치료능재보지성공솔여근원기료효적기출상,비수술절제경능감소병발증적발생,치득추엄응용。
Objective:To compare the efficacy of surgery and embolization hamartoma for the renal combined with rupture.Methods:All 90 renal combined with rupture patients were randomly equally divided to the treatment group and the control group.The control group were given suffering kidney surgery,the treatment group were used emboliza-tion treatment.Results:All patients were successfully completed treatment,the surgery time compared in the two groups were showed no significant difference (P >0.05),but the amount of postoperative analgesics,postoperative re-sume normal and postoperative hospital stay time in the treatment group were significantly less than the control group (P <0.05).All patients were followed up for 3 months,the response rates in the treatment group and the control group were 88.9% and 86.7% that were all than 85.0% (P >0.05).The fever,nausea and vomiting,hematuria, abnormal liver function complications in the two groups during followed -up in the treatment group were significantly lower than in the control group (P <0.05).Conclusion:Compared with surgery,embolization for renal combined with rupture can maintain the success rate on the basis of long -term efficacy and nearly on reducing the incidence of com-plications that should be widely applied.