B超引导下经皮穿刺置管引流术在肝胆外科危急症中的临床应用价值分析

Analysis of clinical application value of B-ultrasound-guided percutaneous catheter drainage in hepatobiliary surgery

目的探讨B超引导下经皮穿刺置管引流术在肝胆外科危急症中的临床应用价值。方法选取2016年3月～2018年5月于我院住院治疗的相关急性梗阻性化脓性胆管炎患者,根据治疗方式的不同分为常规治疗组及超声引导下穿刺组,观察组给予超声引导下穿刺置管,对照给予常规治疗,观察两组患者的治疗效果。结果治疗后的穿刺置管组患者的WBC恢复正常时间及住院时间均明显低于常规治疗组(P <0.05);穿刺置管治疗前,穿刺置管组和常规治疗组的血清ALT、AST、ALB、TBIL、DBIL水平,差异无统计学意义(P> 0.05);穿刺置管治疗后1周,穿刺置管组患者的血清ALT、AST、ALB、TBIL、DBIL水平均显著低于常规治疗组(P <0.05);穿刺置管组的手术并发症率6.5%明显低于常规治疗组的22.06%,差异有统计学意义(P <0.05)。结论 B超引导下经皮穿刺置管引流术能够显著缩短患者的住院时间,改善患者的肝功能,并能够降低并发症的发生率。

Objective To discuss the clinical application value of b-ultrasound-guided percutaneous catheter drainage in hepatobiliary surgery. Methods Patients with related acute obstructive suppurative cholangitis who were hospitalized in our hospital from March 2016 to May 2018 were selected and divided into conventional treatment group and ultrasound-guided puncture group according to different treatment methods.The observation group received ultrasound-guided catheterization,while the control group received conventional treatment.The therapeutic effects of the two groups were observed. Results The WBC recovery time and hospitalization time of patients in the puncture catheterization group after treatment were significantly lower than those in the conventional treatment group(P<0.05).Serum ALT,AST,ALB,TBIL and DBIL levels of the puncture catheterization group and the conventional treatment group were not significantly different before the puncture catheterization treatment(P > 0.05).One week after the puncture and catheterization treatment,the ALT,AST,ALB,TBIL and DBIL levels of the patients in the puncture and catheterization group were significantly lower than those in the conventional treatment group(P < 0.05).The surgical complication rate of the puncture and catheterization group was 6.5%,which was significantly lower than that of the conventional treatment group(22.06%),and the difference was statistically significant(P < 0.05). Conclusion B-ultrasound-guided percutaneous catheterization and drainage can significantly shorten the length of hospital stay,improve the patient’s liver function,and reduce the incidence of complications.