摘要
目的:比较细菌性肝脓肿经皮穿刺与手术治疗的疗效。方法:回顾分析首都医科大学宣武医院1989年1月—2008年12月收治的193例细菌性肝脓肿患者的临床资料,按治疗方法分为经皮穿刺组(96例)及手术治疗组(97例),比较2组的治疗成功率、并发症率、死亡率及住院时间。结果:2组患者的性别,年龄,糖尿病有无,白蛋白水平,脓肿的部位、个数、大小、来源等差异均无统计学意义。经皮穿刺组患者治疗成功率、死亡率及平均住院时间分别为87.5%(84/96)、2.1%(2/96)、(20.8±12.4)d;手术组为94.8%(92/97)、2.1%(2/97)、(18.9±13.5)d,差异均无统计学意义(P=0.072,1.000,0.575)。经皮穿刺组并发症率较手术组低(2.1%vs9.3%,P=0.037)。结论:经皮穿刺治疗细菌性肝脓肿与手术同样有效,且并发症率较低,应成为肝脓肿治疗的首选。
Objective: To assess the effect of percutaneous and surgical treatments of pyogenic liver abscesses. Methods: The medical records of 193 patients with pyogenic liver abscess were analysed retrospectively. The patitents were divided into two groups (percutaneously group and surgical group)according to the different treatment method. The length of hospital stay, pro-cedure-related complications, the rate of treatment success and death were compared between the groups. Results: Ninty-six patients were treated percutaneously, either by needle aspiration or catheter drainage and 97 patients were treated surgically. There was no statistically significant difference in patients' demographics or abscess characteristics between groups. The success rate, mortality and length of hospital stay in percutaneous and surgical group was 87.5% vs 94.8%,2.1% vs 2.1% and(20.8±12.4)d vs(18.9±13.5)d, respectively with no significantly difference (P〉0.05). There was statistically significant difference in morbidity rate between the groups (2.1% vs 9.3%, P=0.037). Conclusions: Percutaneous and surgical treatment of pyogenic liver abscesses are both effective, nevertheless percutaneous drainage carries lower morbidity and should be the first-line treatment.
出处
《中国现代普通外科进展》
CAS
2010年第2期115-117,153,共4页
Chinese Journal of Current Advances in General Surgery
关键词
肝脓肿
化脓性
穿刺术
外科手术
Liver abscess
pyogenic·Punctures·Surgical procedure
operation