超声引导下穿刺置管引流术治疗肝脓肿的临床效果观察

Observation of the clinical effect of ultrasound-guided percutaneous catheter drainage in the treatment of liver abscess

目的:分析探讨在超声介入下经皮肝脏穿刺置管引流术对肝脓肿的临床治疗效果。方法:回顾性分析我院2010年1月～2012年2月期间行超声引导下穿刺置管引流术(观察组)患者的临床病例资料,并与2007年4月～2008年7月期间在我院行剖腹置管引流(对照组)治疗肝脓肿患者的病例资料进行对比研究。比较两组患者术后WBC恢复正常的时间、体温恢复正常时间、拔管时间、住院时间以及费用等,并统计两组患者临床治愈例数及并发症发生例数。结果:观察组患者术后WBC和体温恢复正常时间明显较短,平均住院时间也短于对照组,住院费用也相对较少,两组之间比较差异有显著的统计学意义(P<0.05);观察组患者临床治愈率为100%,无一例发生并发症,对照组患者临床治愈率为82.60%,并发症发生率为26.10%,两组间有显著的统计学差异(P<0.05)。结论:超声引导下穿刺置管引流治疗肝脓肿不仅临床效果好、并发症少,而且对患者创伤小,帮助患者缩短了住院时间,住院费用也相应减少,值得临床上推广。

Objective： To analyze and explore the clinical treatment effect of ultrasound interventional percutaneous liver biopsy catheter drainage in the liver abscess. Methods： The clinical data of the patients with ultrasound-guided percutaneous catheter drain- age （observation group） in our hospital from January 2010 to February 2012 were retrospectively analyzed and compared with the clinical data with laparotomy drainage catheter （control group） for treatment from April 2007 to July 2008. The postoperative WBC restore normal body temperature returned to normal time, extubation time, length of stay, and costs of the two groups were compared. The number of cured cases and number of complications for the two groups were taken for statistics. Results： The postopera- tive WBC and body temperature returned to normal time in the observation group was significantly shorter, average length of stay was shorter than the control group, and the hospitalization costs in the observation group was also less than the control group. The difference between the two groups was statistically significant （P〈0.05）. The clinical cure rate of the observation group was 100 %, no case of complications. The clinical cure rate of the control group was 82. 60 %, the complication rate was 26.10%. There was a statistically significant difference between the two groups （P〈0.05）. Conclusion： Ultrasound-guided cannulation drainage for the treatment of liver abscess not only has a better clinical effect, fewer complications, and patient trauma, also can help patients with a shorter hospital stay and a corresponding reduction in hospitalization costs, and it is worthy of clinical practice.