双氧水肾盂灌洗治疗乳糜尿68例

Efficacy of hydrogen peroxide in thereatment of 68 patients with chylous urine

目的:探讨双氧水肾盂灌洗治疗乳糜尿患者的临床疗效并探讨其注意事项。方法:分析68例乳糜尿患者,其中男39例,女29例;左侧39例,右侧23例,双侧6例;术前均经膀胱镜检查及尿乙醚试验确诊,均行膀胱镜下逆行插管至肾盂,行双氧水肾盂灌洗,术中术后注意观察全身情况、腰腹部疼痛及胃肠道反应。结果:全组68例患者治疗后累计64例(94.12%)乳糜尿消失,获得随访1～10年者共60例,其中58例(96.67%)乳糜尿无复发,2例(3.33%)于治疗1～3年后复发;术后少数患者出现低热、腰痛、恶心、呕吐等不良反应,能自行好转或对症处理后消失。结论:本法操作简单,容易掌握,安全有效、不良反应较小、复发率低、医疗费用较低、患者乐于接受,值得临床推广应用。

Objective To observe the effect of hydrogen peroxide in the treatment of patients with chylous urine. Method Total 68 pa- tients with chylous urine were observed. There were 39 ~nale and 29 female. For 39 cases were in left side,23 in right side and 6 in both sides. All the cases were diagnosed by cystoscopy and chyluria test. They were received renal perfusion with hydrogen peroxide. The pa- tients＇ conditions were observed carefully during and after renal perfusion. Results Chylous urine disappeared in 64 patients. Total efficien- cy rate was 94. 12% （64/68）. 60 cases were followed up for 1 - 10years,only 2 cases recurred 1 -3 years after renal perfusion. The inci- dence of side effects was low and disappeared after symptomatic treatment. Conclusion The method is simple and easy to operate＇s It is ef- fective and safe with low side effect ,low recurrence rate and low medical expenditure. It can be accepted readily by patients and deserve fur- ther clinical application.