中山大学学报（医学科学版）2018，Vol.39Issue(3)：400-404,5.
肾血管平滑肌脂肪瘤破裂出血不同手术时机的围手术期风险评估
Assessment of the Perioperative Risk of Different Operation Times on Renal Angiomyolipoma Patients with Rupture and Hemorrhage
摘要
Abstract
[Objective] To investigate the perioperative risk of different operation times on renal angiomyolipoma (AML) patients with rupture and hemorrhage.[Methods] From January 2006 to December 2016,AML patients with rupture and hemorrhage who receiving surgical treatment were recruited.According to the operation time,patients receiving surgery within 7 days after the hemorrhage were classified as short-term operation group.Patients receiving surgery exceeded 30 days after the hemorrhage were classified as long-term operation group.The general and perioperative data were compared between the two groups.[Results] There were no statistically significant differences in age,tumor size,clinical symptoms and operative methods between the two groups.However,as compared to the long-term operation group,the hemorrhage during surgery [(780±451) vs.(572±913) mL,P=0.029],the volume of transfused blood [(2600 ± 1733) vs.(820±582) mL,P=0.027],the nephrectomy rate (60.0％ vs.22.6％,P=0.027) were significantly increased in the short-term operation group.[Conclusions] A long-term operation group for AML patients with rupture and hemorrhage could have a lower perioperative risk.关键词
肾肿瘤/血管平滑肌脂肪瘤/破裂出血/手术时机Key words
renal tumor/angiomyolipoma/rupture and hemorrhage/operation time分类
医药卫生引用本文复制引用
李四化,陈羽,张俊隆,陈凌武,李晓飞..肾血管平滑肌脂肪瘤破裂出血不同手术时机的围手术期风险评估[J].中山大学学报（医学科学版）,2018,39(3):400-404,5.基金项目
广东省科技计划项目(2012B031800064) （2012B031800064）
