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彩色超声引导腹腔穿刺器穿刺置管引流在腹腔脓肿中的临床应用 被引量:20

Clinical application of color ultrasound guided trocar catheter drainage in intra-abdominal abscess
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摘要 目的:探讨彩色超声引导下利用腹腔穿刺器经皮穿刺置管引流术(PCD)治疗腹腔脓肿的临床应用价值。方法:选取2013年6月至2016年6月广西医科大学第一附属医院收治的腹腔感染并发腹腔脓肿患者20例,分析彩色超声引导下利用腹腔穿刺器行腹腔或后腹腔穿刺置管引流的临床效果。结果:本组20例患者在超声引导下穿刺置管过程顺利,未出现如肠瘘、腹腔内出血、穿刺部位感染等严重并发症。10例患者配合常规内科治疗后,各项检测指标均较治疗前明显改善,痊愈出院;5例因体质差、全身中毒症状较严重而无法耐受手术治疗的患者穿刺置管后症状缓解,各项指标好转后进行外科手术治疗,痊愈出院;2例穿刺置管后症状缓解不明显,为改善冲洗引流中转开腹,最终获得痊愈;3例死亡。结论:PCD操作简单、创伤小,在腹腔脓肿患者治疗过程腹腔引流环节中效果好,有较高的临床应用价值。 Objective: To investigate the clinical effect of color ultrasound-guided percutaneous puncture catheter drainage (PCD) application in treating intra-abdominal abscess. Methods: From June 2013 to June 2016, 20 patients with abdominal abscess treated in our hospital were enrolled. All patients received PCD guided-by color ultrasound and the clinical efficacy was analyzed. Results: 20 cases got successful treatment and did not appear serious complications such as intestinal fistula, intra-abdominal hemorrhage, puncture site infection etc. 10 cases were recovered and discharged after addition of routine medical treatment. 5 cases with poor health and systemic symptoms were relieved after PCD, and received further surgery when the indicators were improved, and discharged after recovered. Mild remission was found in 2 cases, and they finally recovered after laparotomy. 3 cases died. Conclusion: Color ultrasound-guided PCD was effective in the treatment of intra-abdominal abscess, with the advantages of simple operation and less trauma.
出处 《广西医科大学学报》 CAS 2017年第4期585-587,共3页 Journal of Guangxi Medical University
关键词 彩色超声引导 腹腔穿刺器 腹腔脓肿 guided by color ultrasound abdominal puncture l intra-abdominal abscess
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