中医透托法联合超声引导下穿刺置管引流术治疗肝脓肿临床研究

Chinese Medicine Toutuo Method Combined with Ultrasound Guided Percutaneous Puncture Drainage in the Treatment of Liver Abscess

目的:观察中医透托法联合超声引导下穿刺置管引流术治疗肝脓肿的临床疗效。方法:将80例肝脓肿患者按随机数字表单盲法分为治疗组和对照组,每组各40例。在抗感染等基础治疗的基础上对照组给予超声引导下穿刺置管引流术;治疗组在对照组的基础上加用中医透托法。结果:两组住院时间比较,差异有统计学意义(P<0.05);术后两组第3天、第7天降钙素原较术前均下降,两组比较,差异有统计学意义(P<0.05);术后第3天两组肝脓肿缩小率比较,显著有统计学意义(P<0.05);两组患者复发率比较,差异无统计学意义(P>0.05)。结论:中医透托法联合超声穿刺引流术治疗肝脓肿临床疗效显著。文献引用:石传科,张顺超,李伟,等.中医透托法联合超声引导下穿刺置管引流术治疗肝脓肿临床研究[J].中医学报,2013,28(5):742-743.

Objective ：To observe the clinical efficacy of Chinese medicine Toutuo method combined with ultrasound guided percutaneous puncture drainage in the treatment of liver abscess. Methods ：80 cases with liver abscess were randomly divided into treatment group and control group ,40 cases in each group. The control group was given basic treatment combined with ultrasound guided percutaneous punc- ture drainage based on anti-infection. The treatment group was given Chinese medicine Toutuo method based on control group. Results ： Compared the hospital stay of two groups, the difference was statistically significant（ P 〈 0.05 ）. The calcitonin content in two groups was decreased in 3 and 7 days, the difference was statistically significant （ P 〈 0. 05 ）. Compared reduced rate in three days after treatment, the difference was statistically significant （P 〈 0. 05 ）. Compared the relapse rate and fatality rate of the two groups, the difference was not statistically significant（ P 〉 0.05 ）. Conclusion： Chinese medicine Toutuo method combined with ultrasound guided percutaneous puncture drainage in the treatment of liver abscess has significant clinical efficacy.