化脓性肝脓肿超声引导下经皮穿刺抽吸冲洗术临床效果、体温恢复时间及并发症分析

Clinical efficacy, body temperature recovery time and complications of ultrasound-guided percutaneous puncture aspiration and drainage for suppurative hepatic abscess

目的探究化脓性肝脓肿超声引导下经皮穿刺抽吸冲洗术的临床效果、体温恢复时间及并发症。方法按照入院先后顺序将80例化脓性肝脓肿患者分为对照组和研究组,各40例。对照组给予置管排脓治疗,观察组给予经皮穿刺抽吸冲洗术治疗。比较两组临床效果、体温恢复时间、脓腔消失时间等指标,以及并发症发生情况。结果观察组治疗后脓腔消失时间、体温恢复正常时间短于对照组(均P<0.05),两组患者住院时间、白细胞正常时间差异均无统计学意义(均P>0.05);观察组并发症率低于对照组(P<0.05);两组疗效差异无统计学意义(P>0.05)。结论超声引导下经皮穿刺抽吸冲洗术治疗化脓性肝脓肿疗效与置管排脓治疗相当,但并发症少,能够促进患者症状改善,可结合实际情况选择相应的治疗方式。

Objective To explore the clinical effect, temperature recovery time and complications of ultrasound-guided percutaneous puncture aspiration and drainage for suppurative hepatic abscess. Methods The time of abscess disappearance and body temperature returning to normal in the observation group was shorter than that in the control group（P〈0.05）. There was no significant difference in time of hospitalization and white blood cell returning to normal between the two groups（P〉0.05）. Complications rate in the observation group was lower than that of the control group（P 〈0.05）; there was no significant difference between the two groups（P〈0.05）. Conclusions Ultrasound guided percutaneous puncture pumping irrigation treatment of suppurative hepatic abscess has the same curative effect as catheter drainage; moreover, it has fewer complications and it can promote patients symptoms improved. The appropriate treatment can be selected in combination with the actual situation.