超声引导下经皮穿刺置管引流术与腹腔镜肝脓肿切开引流术治疗细菌性肝脓肿患者对比观察

Comparative Observation of the Effect of Percutaneous Puncture Catheter Drainage and Laparoscopic Hepatic Abscess Incision Drainage on Bacterial Liver Abscess

目的:对比超声引导下经皮穿刺置管引流术与腹腔镜肝脓肿切开引流术治疗细菌性肝脓肿的效果。方法:选取我院2016年2月—2018年1月细菌性肝脓肿患者72例,根据治疗方案分为超声组(n=36)与腹腔镜组(n=36)。腹腔镜组采取腹腔镜肝脓肿切开引流术,超声组采取超声引导下经皮穿刺置管引流术。统计两组围术期状况、并发症发生率。结果:超声组手术时长、住院时长、体温恢复正常用时、白细胞计数恢复正常用时短于腹腔镜组(P<0.05);超声组并发症发生率(5.56%)低于腹腔镜组(22.22%,P<0.05)。结论:采取超声引导下经皮穿刺置管引流术治疗细菌性肝脓肿,效果优于腹腔镜肝脓肿切开引流术,术后康复较快,且并发症发生率较低。

Objective: To compare the effect of ultrasound-guided percutaneous drainage and laparoscopic hepatic abscess in the treatment of bacterial liver abscess. Methods: A total of 72 patients in our hospital from February2016 to January2018 were selected.They were divided into ultrasound group (n=36) and laparoscopic group (n=36) by the treatment plan. Laparoscopic liver abscess incision and drainage was performed in the laparoscopic group,while ultrasound-guided percutaneous puncture drainage was used in the ultrasound group.And then count the perioperative conditions and the incidence of complications. Results: In the ultrasound group, the duration of surgery, length of hospital stay, normal temperature recovery, The time of the white blood cell count to normal was shorter than that in the laparoscopic group (P<0.05);the incidence of complications in the ultrasound group (5.56%) was lower than that in the laparoscopic group (22.22%, P <0.05). Conclusion: When ultrasound-guided percutaneous transcatheter drainage was used to treat bacterial liver abscess,the rate of recovery was faster and the incidence of complications was lower,which proved that this therapy was superior to laparoscopic liver abscess incision and drainage.