术前介入栓塞在肾脏巨大肿瘤手术中的应用及临床评价

　　【摘要】 目的：對术前介入栓塞在肾脏巨大肿瘤手术中的应用及临床效果进行深入分析和评价研究。方法：收集本院2015年8月-2017年8月收治的60例肾脏巨大肿瘤患者作为研究对象，按照随机数字表法分为A组（30例，直接进行手术治疗）和B组（30例，先进行介入栓塞治疗再进行手术治疗），对比两组患者的手术时间、术中出血量、住院时间以及并发症发生情况等指标。结果：B组患者的手术时间（95.25±16.27）min明显小于A组患者的（150.66±21.44）min，B组患者的术中出血量（195.41±12.43）mL明显小于A组患者的（640.83±11.04）mL，B组患者的住院时间（2.52±0.73）d明显小于A组患者的（7.64±0.87）d，两组比较差异均有统计学意义（P<0.05）。治疗后，A组患者治疗后出现腰痛2例，出血2例，感染3例；B组患者治疗后出现腰痛1例，B组并发症发生率3.33%明显低于A组患者的23.33%，比较差异有统计学意义（P<0.05）。结论：术前介入栓塞在肾脏巨大肿瘤手术中有良好的应用效果，通过术前介入栓塞，能够有效缩短肾脏巨大肿瘤手术时间和患者的住院时间，减少术中出血量以及相关并发症的发生，对于提高肾脏巨大肿瘤患者的手术成功率，促进患者后续的身体恢复有十分积极的作用。
　　【关键词】 肾脏巨大肿瘤手术； 介入栓塞
　　The Application and Clinical Evaluation of Preoperative Embolotherapy in the Operation of Huge Renal Tumor/FENG Xiao，ZHANG Kaiyan，ZHOU Yuming，et al.//Medical Innovation of China，2018，15（07）：063-066
　　【Abstract】 Objective：To analyze and evaluate the application and clinical effect of preoperative embolotherapy in the operation of huge renal tumor.Method：A total of 60 cases which were diagnosed as huge renal tumor in our hospital from August 2015 to August 2017 randomly divided into A group（30 cases，direct surgical treatment）and B group （30 cases，the first preoperative embolotherapy and surgical treatment）according to table of random numbers.The operation time，blood loss，hospitalization time and complications were compared between two groups.Result：The operative time in B group was（95.25±16.27）min significantly lower than that in group A （150.66±21.44）min， the amount of bleeding patients in B group was（195.41±12.43）mL significantly lower than that in group A （640.83±11.04）mL，hospitalization time in the B group was（2.52±0.73）d less than that of A group （7.64±0.87）d，the difference was statistically significant（P<0.05）.In A group，there were 2 cases of lumbago after treatment，2 cases of bleeding and 3 cases of infection；1 case of lumbago in B group after treatment，the complications rate of B group was 3.33% significantly lower than that of A group 23.33%，the difference was statistically significant（P<0.05）.Conclusion：Preoperative embolotherapy has good application effect in huge renal tumor surgery.Preoperative embolotherapy in the operation of huge renal tumor can effectively shorten the operation time，reduce blood loss and related complications，improve surgery success rate，promote thephysical recovery of patients.
　　【Key words】 Huge renal tumor surgery； Preoperative embolotherapy
　　First-author’s address：First Affiliated Hospital of Xiamen University，Xiamen 361003，China

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