超声引导下经皮穿刺置管引流在肝脓肿治疗中的应用

Application of ultrasound guided percutaneous aspirate and catheter drainage treatment for liver abscess

目的探讨超声引导下经皮穿刺置管引流在肝脓肿治疗中的临床应用效果。方法选取2012年3月-2013年3月在本院采用超声引导经皮穿刺置管引流治疗的肝脓肿患者36例作为观察组,2009年1月-2011年1月在本院进行肝脓肿部位手术切开置管引流的36例患者作为对照组。观察两组患者治疗后的临床疗效、总有效率、住院时间及并发症发生情况等。结果观察组患者全部治愈,总有效率达100.0%,无任何并发症发生,平均住院时间（7.84±2.10）d。对照组患者的总有效率为77.8%,治疗中2例患者切口感染,5例患者腔内出血,并发症发生率为22.2%,平均住院时间（18.99±6.10）d;两组患者的总有效率、并发症发生率和住院时间差异均有统计学意义（P〈0.05）。结论超声引导下经皮穿刺置管引流治疗肝脓肿与手术切开置管引流相比,操作精准简单、创伤小、安全、副作用少、临床疗效显著,值得在临床推广。

Objective To investigate clinical application effect of the ultrasound guided percutaneous aspirate and catheter drainage effect in the treatment of liver abscess. Methods 36 patients with liver abscess used ultrasound guid-ed percutaneous aspirate and catheter drainage in our hospital from 2012 March to 2013 March were selected as the observation group,36 patients with liver abscess used operation cut portion of liver abscess and catheter drainage in our hospital from 2009 January to 2011 January were selected as the control group.The clinical efficacy after treatment,the total effective rate,hospitalization time and complications etc. of two groups patients were observed. Results Patients in observation group were healed,the total effective rate was 100.0%,and no complication,the hospitalization time was （7.84±2.10） d.The total effective rate in control group was 100.0%,in treatment,2 cases had wound infection,5 cases with cavity hemorrhage and incidence of complications was 22.2%,the hospitalization time was （18.99±6.10） d,The total effective rate,incidence of complications and hospitalization time of two groups were compared,the difference was statis-tically significant （P〈0.05）. Conclusion The result of the comparison of ultrasound guided percutaneous catheter drainage and operation incision cut portion of liver abscess and drainage show,the treatment of ultrasound guided percutaneous catheter drainage operation is simple and accurate with ess trauma,safety and less side effect,obvious curative effect, worth popularizing in the clinic.