【摘要】 目的：對(duì)術(shù)前介入栓塞在腎臟巨大腫瘤手術(shù)中的應(yīng)用及臨床效果進(jìn)行深入分析和評(píng)價(jià)研究。方法：收集本院2015年8月-2017年8月收治的60例腎臟巨大腫瘤患者作為研究對(duì)象，按照隨機(jī)數(shù)字表法分為A組（30例，直接進(jìn)行手術(shù)治療）和B組（30例，先進(jìn)行介入栓塞治療再進(jìn)行手術(shù)治療），對(duì)比兩組患者的手術(shù)時(shí)間、術(shù)中出血量、住院時(shí)間以及并發(fā)癥發(fā)生情況等指標(biāo)。結(jié)果：B組患者的手術(shù)時(shí)間（95.25±16.27）min明顯小于A組患者的（150.66±21.44）min，B組患者的術(shù)中出血量（195.41±12.43）mL明顯小于A組患者的（640.83±11.04）mL，B組患者的住院時(shí)間（2.52±0.73）d明顯小于A組患者的（7.64±0.87）d，兩組比較差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。治療后，A組患者治療后出現(xiàn)腰痛2例，出血2例，感染3例；B組患者治療后出現(xiàn)腰痛1例，B組并發(fā)癥發(fā)生率3.33%明顯低于A組患者的23.33%，比較差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：術(shù)前介入栓塞在腎臟巨大腫瘤手術(shù)中有良好的應(yīng)用效果，通過術(shù)前介入栓塞，能夠有效縮短腎臟巨大腫瘤手術(shù)時(shí)間和患者的住院時(shí)間，減少術(shù)中出血量以及相關(guān)并發(fā)癥的發(fā)生，對(duì)于提高腎臟巨大腫瘤患者的手術(shù)成功率，促進(jìn)患者后續(xù)的身體恢復(fù)有十分積極的作用。
　　【關(guān)鍵詞】 腎臟巨大腫瘤手術(shù)； 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

相關(guān)熱詞搜索：栓塞 腎臟 腫瘤 介入 術(shù)前