经皮穿刺置管引流术与腹腔镜下切开引流术治疗细菌性肝脓肿的疗效比较

Comparison of the efficacy of percutaneous puncture and drainage and laparoscopic drainage in the treatment of bacterial liver abscess

目的探讨经皮穿刺置管引流术与腹腔镜下切开引流术治疗细菌性肝脓肿的临床疗效。方法选取69例细菌性肝脓肿患者(2012年5月至2014年9月),根据治疗方法不同分为两组;应用经皮穿刺置管引流冲洗术治疗患者40例(穿刺组),行腹腔镜下切开引流治疗29例(腹腔镜组),对比分析两组临床数据。结果统计学分析显示,两组患者手术时间、拔除引流管时间、退热时间、住院时间及并发症发生率具有统计学差异(P<0.01)。穿刺组患者住临床疗效优于腹腔镜组。结论经皮穿刺置管引流术治疗细菌性肝脓肿优越性明显,具有手术时间短、退热快、早期拔除引流管、住院周期短、并发症少、治疗效果可靠等优点,较腹腔镜下切开引流方法减轻了患者的痛苦,适合临床推广应用。

Objective To explore the clinical efficacy of percutaneous puncture drainage and laparoscopic drainage in the treatment of bacterial liver abscess. Methods A total of 69 cases of bacterial liver abscess patients （May 2012 to September 2014） were selected. According to the different treatment methods, two groups were divided： application of percutaneous puncture and tube drainage surgery in the treatment of patients with 40 cases （puncture group）, laparoscopic under incision and drainage in the treatment of 29 cases （laparoscopic group）. The clinical data of the two groups were compared and analyzed. Results Statistical analysis showed that the two groups of patients with operation time, removal of drainage tube time, fever time, hospitalization time and complication rate had a statistically significant difference （P〈0.01）. The clinical curative effect of the puncture group was better than that of the laparoscopic group. Conclusion Percutaneous puncture tube drainage surgery in the treatment of bacterial liver abscess has obvious superiority, with operation time short, allay a fever fast, early removal of drainage tube, hospitalization period short, fewer complications, treatment effect and reliable advantages, compared with laparoscopic incision and drainage method to reduce the suffering of the patients, suitable for clinical application.