经皮肝穿刺置管引流与经腹切开引流治疗细菌性肝脓肿的临床观察

Percataneous Liver Biopsy and Catheter Drainage vs. Transabdominal Incision and Drainage in Treatment of Bacterial Liver Abscess

目的:比较经皮肝穿刺置管引流与经腹切开引流治疗细菌性肝脓肿的临床疗效及安全性。方法:选择符合标准的细菌性肝脓肿39例,分为观察组20例和对照组19例,前者采用经皮肝穿刺置管引流术,后者采用经腹切开引流术,比较二者临床疗效及并发症。结果:观察组患者手术时间、体温及白细胞计数恢复正常时间、住院时间均较对照组缩短,差异有统计学意义(P<0.05)。治疗1周后,观察组患者显效16例、有效3例和无效1例,对照组患者显效15例和有效4例,差异无统计学意义(P>0.05)。观察组患者并发症发生率10.00%,低于对照组的26.32%,差异有统计学意义(P<0.05)。结论:经皮肝穿刺置管引流与经腹切开引流治疗细菌性肝脓肿的临床疗效相似,但是前者手术时间短、术后恢复快、并发症少、安全可靠。

Objective： To compare the safety and clinical efficacy of percataneous liver biopsy and catheter drainage vs. transabdominal incision and drainage.Method： A total of 39 eligible patients with bacterial liver abscess were selected and divided into observation group（ 20 patients） and control group（ 19 patients）.The observation group used percataneous liver biopsy and catheter drainage,while the control group used transabdominal incision and drainage,and the clinical efficacy and complications were compared between the two groups. Result： The patients of the observation group had shorter operative time,time to recovery of body temperature and WBC count,and length of stay than the control group,and the differences were statistically significant（ P 0.05）. At 1 week after the therapy,16 patients of the observation group were responsive excellently to the therapy,3 cases were responsive to the therapy,and 1 was unresponsive to the therapy,while of the control group,15 patients were responsive excellently to the therapy,4 cases were responsive to the therapy,and the differences were statistically insignificant（ P 0.05）. The incidence of complications in the patients of the observation group was 10. 00%,was lower than that of the control group（ 26.32%）,and the difference was statistically significant（ P 0.05）.Conclusion： Percataneous liver biopsy and catheter drainage in treatment of bacterial liver abscess had similar clinical efficacy to transabdominal incision and drainage,but had shorter operative time,rapider postoperative recovery,and less complications,and is reliable and safe.