超声引导下经皮穿刺置管引流术在腹腔脓肿治疗中的应用

Application of Ultrasound-Guided Percutaneous Catheter Drainage in the Treatment of Abdominal Abscess

目的探讨超声引导下经皮穿刺置管引流术在腹腔脓肿治疗中的应用效果。方法选取我院普外科收治的腹腔脓肿患者48例为研究对象,根据治疗方法的不同分为A组(超声引导下经皮穿刺置管引流术,24例)和B组(常规开腹置管引流术,24例),比较两组患者的引流时间、住院时间、疗效及相关并发症发生情况。结果两组患者的引流时间比较差异无统计学意义(P>0.05);A组患者的住院时间显著短于B组(P<0.05)。A组的总有效率100.00%,高于B组的83.34%(P<0.05)。A组的继发感染、出血、组织损伤发生率分别为4.17%、0.00%和0.00%,均显著低于B组的25.00%、16.67%和16.67%(P<0.05)。结论超声引导下经皮穿刺置管引流术在普外科腹腔脓肿的治疗中具有显著疗效,可减少患者创伤,降低并发症发生率。

Objective To explore the application effect of ultrasound-guided percutaneous catheter drainage in the treatment of abdominal abscess. Methods 48 cases of patients with abdominal abscess in our hospital were divided into group A （ultrasound-guided percutaneous catheter drainage, n = 24） and group B （conventional open catheter drainage, n = 24） according to the treatment methods. The drainage duration, hospital stay, efficacy and complications were compared between two groups. Results No statistical difference was found between two groups in drainage duration （P 〉0.05）, while the hospital stay of group A was shorter than that of group B （P 〈0.05）. The total effective rate of group A was 100.00%, higher than 83.34% of group B （_P〈0.05）. The incidences of secondary infection, bleeding and tissue damage of group A were 4.17%, 0.00% and 0.00% respectively, significantly lower than 25.00%, 16.67% and 16.67% of group B respectively （P〈0.05）. Conclusions Ultrasound-guided percutaneous catheter drainage in the treatment of abdominal abscess in department of general surgery has significant efficacy, which can reduce patients＇ trauma and incidence of complications.