单腔锁穿管引流法治疗肝硬化顽固性腹水的疗效观察

The effect on treating obstinate ascites due to cirrhosis by the single piercing tube with locks

探讨肝硬化顽固性腹水的治疗方法。在支持利尿治疗的基础上,治疗组44例肝硬化顽固性腹水患者采用单腔锁穿管引流腹水法,对照组42例采用反复大量放腹水法。治疗组显效率77.27%,总有效率97.77%;对照组显效率57.14%,总有效率90.48%,治疗组与对照组比较腹水控制显效率(P<0.05)显著提高,疗程(P<0.05)明显缩短,继发循环功能紊乱(P<0.001)、低纳血症(P<0.05)明显减少。单腔锁穿管引流治疗肝硬化顽固性腹水的方法简便、安全,疗效满意,值得在临床上推广应用。

To study the treatment method of the obstinate cirrhosis ascites.On the basis of supporting the diuresis treatment,Treatment group,adopted “the single of locks to be worn and in charge of the drainage belly water”to cure the 44 cirrhosis cases with obstinate ascites.Contrast group adopted “repeated drainage of belly water in a large amount”for 42 cases.With show efficiency is 77.27% in the treatment group.total efficiency 97.77%;and as for the Contrast group with show efficiency 57.14% and total efficiency 90.48%.By comparison of the two groups the show efficiency of ascites control improved notably.(P<0.05)And the course of treatment obviously shortened (P<0.05)Continuous PPCD (P<0.001),Low sodium blood disease is obviously reduced (P<0.05)。This method is convenient and safe and the curative effect is satisfying,so it is worth popularizing and applying on clinic.