Effect of emergency selective renal artery embolization on postoperative recovery of patients with acute renal hamartoma rupture and hemorrhage
Objective To explore and analyze the effect of emergency selective renal artery embolization on postoperative recovery of patients with acute renal hamartoma rupture and hemorrhage.Methods From April 2019 to September 2021,65 patients with acute renal hamartoma rupture and bleeding admitted to our hospital were selected.According to the different treatment methods of pa-tients,30 patients with emergency SAE before operation were selected as SAE group,while 35 patients with laparoscopic tumor enucleation without emergency SAE were selected as non SAE group.The op-eration related conditions,intraoperative stress response indexes,changes of renal function indexes be-fore and after operation and postoperative complications were compared between the two groups.Results The intraoperative blood loss,operation time,renal artery occlusion time,postoperative gastrointestinal function recovery time and postoperative hospital stay in the SAE group were significantly lower than those in the non-SAE group(all P＜0.05).Intraoperative blood renin,epinephrine and norepineph-rine levels in the SAE group were significantly lower than those in the non SAE group(all P＜0.05).There was no significant difference in the levels of renal function indexes Scr and eGFR between the two groups before operation(all P＞0.05).At 3 months after operation,Scr in the two groups was significantly higher than that before operation(all P＜0.05).The eGFR of patients in both groups was significantly lower than that before operation(all P＜0.05),while the Scr of patients in SAE group was significantly lower than that of non SAE group at 3 months after operation,and the eGFR of pa-tients in SAE group was significantly higher than that of patients at 3 months after operation non SAE group(all P＜0.05).There was no significant difference in the incidence of complications between the two groups[6.67％(2/30)vs.8.57％(3/35),P＞0.05].Conclusions For patients with renal hamartoma rupture and bleeding after emergency SAE,laparoscopic tumor enucleation can effectively shorten the operation time,shorten the intraoperative renal artery occlusion time,and reduce the intra-operative stress of patients.It is beneficial to postoperative recovery of patients and the protection of re-nal function,and is worthy of clinical application.
HamartomaKidneyRenal Artery EmbolizationRupture and Bleeding
NETL
NSTL
万方数据
维普
