大网膜填塞术与经腹腔引流术治疗细菌性肝脓肿疗效比较

A Comparative Analysis of Omentum Package and Drainage of Abssess Cavity Subsequent to Laparotomy Debridement in the Treatment of Bacterial Liver Abscess

目的 比较大网膜填塞术与经腹腔引流术治疗细菌性肝脓肿的临床效果。 方法 选则有手术指征的细菌性肝脓肿患者32例为研究组, 以同期类似病例31例为对照组, 经腹腔切开引流后分别行脓腔大网膜填塞术及脓腔置管引流术。 结果 研究组与对照组手术时间分别为(47. 3±12. 1)min和(45. 1±10. 8)min,无显著性差异(P>0. 05)。研究组术后发热时间为(4. 2±1. 5)d, 脓腔消失时间为(10. 1±2. 2)d, 术后住院时间为(11. 3±2. 1)d, 均优于对照组的(7. 1±2. 1)d, (18. 0±3. 2)d和(19. 1±3. 1)d(P<0. 05)。 结论 大网膜填塞术治疗细菌性肝脓肿方法简便,疗效好。

Objective To compare the omentum package and drainage secondary to laparotomy debridement in the treatment of bacterial liver abscess. Method 63 cases of bacterial liver abscess underwent laparotomy and debridement, of which 32 cases underwent omentum package thereafter assigned to study group, 31 cases underwent abscess cavity drainage thereafter assigned to control group. Result There was no significant difference in operation time between two groups (47.3±12.1)min VS (45.1±10.8)min( P >0.05). Comparing with control group, study group showed better outcome with regard to postoperative fever lasting time (4.2±1.5)d VS (7.1±2.1)d, abscess cavity lasting time (10.1±2.2)d VS (18.0±3.2)d, postoperative hospital stay (11.3±2.1)d VS (19.1±3.1)d. Conclusion Omentum package can be recommeded as a simple, effective treatment for bacterial liver abscess.