用中心静脉导管腹腔留置术治疗肝硬化腹腔积液的疗效观察

目的:探讨用中心静脉导管腹腔留置术治疗肝硬化腹腔积液的临床效果。方法:对2011年8月~2013年12月期间我科收治的120例肝硬化腹腔积液患者的临床资料进行回顾性研究。我们将这120例患者随机分为A组和B组,每组各有60例患者。我们给A组患者使用中心静脉导管腹腔留置术进行闭式引流治疗,给B组患者使用传统的腹腔穿刺术进行引流治疗。治疗结束后,比较两组患者治疗的效果和发生并发症的情况。结果:A组患者治疗的总有效率为96.6%,B组患者治疗的总有效率为53.3%。A组患者治疗的总有效率明显高于B组患者,二者相比差异具有显著性(P<0.05)。在治疗期间,A组患者中没有发生并发症的患者,B组患者中有5例患者发生了并发症。A组患者发生并发症的人数明显少于B组患者,二者相比差异具有显著性(P<0.05)。结论:用中心静脉导管腹腔留置术治疗肝硬化所致的大量腹腔积液疗效好,安全性高。此疗法值得在临床上推广使用。

Objective: To investigate the clinical effect of peritoneal effusion with a central venous catheter in treatment of liver cirrhosis caused by abdominal indwelling. Methods: from 2011 to August to 2013 December 120 cases in our hospital from liver cirrhosis caused by a number of peritoneal fluid in patients with clinical data were retrospective study. The 120 patients were randomly divided into A group and B group, each group has 60 patients.We give the patients in group A the use of central venous catheter indwelling of abdominal closed drainage treatment, patients in group B used for abdominal puncture drainage treatment. After the end of treatment, compared two groups of patients the treatment efficiency and complication incidence. Results: the treatment in the A group the total effective rate was 96.6% in treatment of B patients, the total effective rate was 53.3%. Group A patients with total effective rate was significantly higher than that of B group patients, compared with the two difference was significant(P<0.05). During the treatment, no complications in the patients of A group of patients, there are complications occurred in 5 patients in group B patients. The number of complications in the A group than the B group, compared with the two difference was significant(P<0.05). Conclusion: the central venous catheter indwelling peritoneal effusion peritoneal massive operation in the treatment of cirrhosis of the liver caused by good, high safety. This therapy is worthy to be popularized in clinical use.