介入治疗肾血管平滑肌脂肪瘤破裂的有效性及对患者出血量、止血时间的影响  

Efficacy of Interventional Therapy in Patients with Ruptured Renal Angiomyolipoma Bleeding and Its Influence on the Amount of Bleeding and Time of Hemostasis

作　　者：蒋寒[1] JIANG Han(Qianjiang Central Hospital,Qianjiang 433100,China)

机构地区：[1]潜江市中心医院,湖北潜江433100

出　　处：《中外医学研究》2021年第13期53-55,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨介入治疗肾血管平滑肌脂肪瘤破裂出血患者的有效性及对患者出血量、止血时间的影响。方法:选取2015年1月-2020年1月笔者所在医院收治的肾血管平滑肌脂肪瘤破裂出血患者60例,随机分为对照组和研究组,各30例。对照组应用急诊手术治疗,研究组应用介入治疗。观察对比两组止血时间、手术中出血量、手术时长、住院时长,治疗后3 d舒张压、收缩压、血细胞比容、血红蛋白、心率,治疗前及治疗后3个月肿瘤直径,治疗后半年复发率。结果:研究组住院时长、手术时长、止血时间均短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);研究组治疗后舒张压、收缩压、血细胞比容、血红蛋白均高于对照组,心率低于对照组,差异均有统计学意义(P<0.05);研究组治疗后3个月肿瘤直径小于对照组,治疗后半年复发率低于对照组,差异均有统计学意义(P<0.05)。结论:肾血管平滑肌脂肪瘤破裂出血患者应用介入治疗效果显著,可以快速止血,降低出血量,有利于患者的康复,降低经济负担,减少复发率。Objective:To investigate the efficacy of interventional therapy for ruptured renal angiomyolipoma bleeding and its effect on the amount of bleeding and hemostasis time.Method:A total of 60 patients with ruptured renal angiomyolipoma bleeding in our hospital from January 2015 to January 2020 were selected and randomly divided into the control group and the study group,with 30 cases in each.The control group was treated with emergency surgery and the study group with interventional therapy.The hemostasis time,amount of blood loss during operation,duration of operation,length of hospitalization,diastolic blood pressure,systolic blood pressure,hematocrit,hemoglobin,heart rate at 3 days after treatment,tumor diameter before and 3 months after treatment,and recurrence rate at 6 months after treatment were observed and compared between the two groups.Result:The length of hospitalization,operation duration and hemostasis time in the study group were shorter than those in the control group,and the amount of intraoperative blood loss was less than that in the control group,the differences were statistically significant (P<0.05).After treatment,diastolic blood pressure,systolic blood pressure,hematocrit and hemoglobin in the study group were all higher than those in the control group,and heart rate was lower than those in the control group,the differences were statistically significant (P<0.05).The tumor diameter in the study group was smaller than that in the control group 3 months after treatment,and the recurrence rate was lower than that in the control group half a year after treatment,the differences were statistically significant (P<0.05).Conclusion:Interventional therapy is effective in patients with renal angiomyolipoma with rupture and hemorrhage.It can stop bleeding quickly and reduce the amount of blood loss,which is beneficial to the rehabilitation of patients,reduce the economic burden and reduce the recurrence rate.

关 键 词：肾血管平滑肌脂肪瘤破裂出血 介入治疗 出血量 治疗效果 

分 类 号：R737.11[医药卫生—肿瘤]