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目的:探索肾周血肿的理想治疗方法。方法:将30例肾周血肿患者随机分成对照组及观察组,每组各15例。观察组采用B超引导穿刺引流联合尿激酶灌注治疗,对照组采用单纯B超引导穿刺引流治疗,比较2组患者的治疗效果。结果:观察组患者术后住院时间、引流管留置时间均短于对照组(P<0.05),肾功能损害、血肿残留比例均小于对照组(P<0.05)。结论:B超引导穿刺引流联合尿激酶灌注治疗肾周血肿疗效确切,是治疗肾周血肿的一种理想方法。
Objective: To explore the ideal treatment for perirenal hematoma. Methods: Thirty patients with perirenal hematoma were randomly divided into control group and observation group, 15 cases in each group. The observation group was treated with B-guided drainage combined with urokinase infusion, while the control group received B-ultrasound guided drainage. The therapeutic effect was compared between the two groups. Results: The postoperative hospital stay and drainage tube indwelling time in the observation group were shorter than those in the control group (P <0.05). The renal damage and residual hematoma in the observation group were less than those in the control group (P <0.05). Conclusion: B ultrasound guided percutaneous drainage combined with urokinase perfusion treatment of perinephric hematoma is effective, is an ideal method of treatment of perirenal hematoma.