探讨闭合性肾损伤的临床疗效观察.docVIP

精品论文 参考文献 探讨闭合性肾损伤的临床疗效观察 黑龙江省北安市第一人民医院 164000 摘要：目的 研究分析闭合性肾损伤的临床治疗方法。方法 此次研究的对象是选取2010年5月～2015年8月在我院接受治疗的301例闭合性肾损伤的患者。将其临床资料进行回顾性分析，并采用随机数字表的方法分为治疗组151例和对照组150例。对疗组采用保守治疗；治照组采用肾裂伤修补术治疗。两组均以2w为1个疗程，治疗2个疗程。治疗结束后，观察两组的临床疗效。结果 治疗组的临床总有效率为98.67%明显高于对照组的78.66%（Plt;0.05），具有显著差异，有统计意义。结论 肾脏修补术对于Ⅲ级肾损伤效果显著，但保守治疗的效果也是肯定的。因此，在临床上我们应根据患者具体情况及医师的临床经验，给患者制定合适的治疗方案，把患者的损失降到最低。 　　关键词：闭合性肾损伤；保守治疗；肾裂伤修补术 　　Abstract：Objective To study the clinical treatment of closed renal injury. Methods the study subjects were selected from May 2010 to August 2015 in our hospital for treatment of 301 cases of closed renal injury patients. The clinical data were retrospectively analyzed，and were divided into treatment group and control group with 151 cases and control group by using the method of random number table. The treatment group was treated with conservative treatment，and the treatment group was treated with the repair of renal laceration. The two groups were treated with 2W for 1 courses，2 courses of treatment. After the treatment，the clinical efficacy of the two groups were observed. Results the total effective rate of the treatment group was 98.67%，which was significantly higher than that of the control group（Plt;0.05），which was statistically significant（）. Conclusions the effect of renal repair on grade III renal injury is significant，but the effect of conservative treatment is also positive. Therefore，in clinical practice，we should according to the specific situation of patients and physicians clinical experience，to develop appropriate treatment programs，the patients loss to the minimum. Key words：closed renal injury；conservative treatment；repair of renal laceration 肾脏是人体的重要器官，它是排泄体内代谢产物及某些毒物、废物的场所。同??还有内分泌功能，又为机体部分内分泌激素的降解场所和肾外激素的靶器官[1]。它位于脊柱两侧，紧贴腹后壁，居腹膜后方，位置较深，周围有较厚的脂肪垫，有一定的活动度，通常不易损伤。但肋骨和脊柱如有损伤发生骨折也易损伤肾脏，或外界暴力直接作用在肾脏，或激烈的震荡也易致肾损伤[2]。美国创伤外科协会将肾脏损伤分为Ⅰ～Ⅴ级[3]。目前肾脏损伤的治疗有保守治疗和手术治疗，临床上的治疗方针是Ⅰ～Ⅲ级肾损伤采取保守治疗，Ⅳ～Ⅴ级采取手术治疗。我院就Ⅲ级闭合性肾损伤采取哪种治疗方法最佳做了一项研究，现报道如下。 　　 1 资料与治疗