超声引导经皮穿刺置管引流治疗肝脓肿的应用及预后分析

Application and Prognosis Analysis of Ultrasound-guided Percutaneous Puncture Catheterization in the Treatment of Liver Abscess

目的探讨超声引导经皮穿刺置管引流治疗肝脓肿的应用及预后。方法方便收集100例该院2016年12月—2019年2月肝脓肿患者,随机分组。抽液未置管引流联合敏感药物治疗组肝脓肿50例患者采取抽液未置管引流联合敏感药物治疗,超声引导抽液置管引流联合敏感药物治疗组肝脓肿50例患者实施超声引导抽液置管引流联合敏感药物治疗。分析脓腔或者白细胞计数恢复正常时间、体温恢复正常时间、疼痛消失时间、平均住院日;患者脓腔消失时间;复发率。结果治疗后超声引导抽液置管引流联合敏感药物治疗组脓腔消失时间(13.66±0.55)d优于抽液未置管引流联合敏感药物治疗组(18.66±2.55)d(t=7.034,P<0.05)。超声引导抽液置管引流联合敏感药物治疗组脓腔或者白细胞计数恢复正常时间、体温恢复正常时间、疼痛消失时间、平均住院日(3.11±0.13)d、(2.21±0.21)d、(3.21±0.13)d、(10.62±0.21)d短于抽液未置管引流联合敏感药物治疗组(4.21±2.24)d、(3.35±1.21)d、(5.24±2.14)d、(12.35±1.61)d(t=6.144、7.021、6.966、7.634,P<0.05)。超声引导抽液置管引流联合敏感药物治疗组复发率0%低于抽液未置管引流联合敏感药物治疗组16%(χ^2=8.176,P<0.05)。结论肝脓肿患者实施超声引导抽液置管引流联合敏感药物治疗可获得较高的临床价值,可快速清除肝脓肿,缩短住院时间,降低复发率。

Objective To explore the application and prognosis of ultrasound-guided percutaneous catheterization for the treatment of liver abscess.Methods A total of 100 patients with liver abscess in the hospital from December 2016 to February 2019 were convenient collected and randomly divided into groups.50 patients with hepatic abscess in the group of unpumped drainage combined with sensitive drug treatment took 50 patients with hepatic abscess in the group of ultrasound-guided pumped drainage combined with sensitive drug treatment Intubation and drainage combined with sensitive drug treatment.Analyze the time for the pus cavity or white blood cell count to return to normal,the time for the body temperature to return to normal,the time for the pain to disappear,and the average hospital stay;the time for the patient to disappear for the pus cavity;the recurrence rate.Results After treatment,the time of abscess of the abscess in the group with ultrasound-guided drainage and drainage combined with sensitive drugs was(13.66±0.55)d better than(18.66±2.55)d without drainage and drainage combined with sensitive drugs(t=7.034,P<0.05).Ultrasound-guided drainage catheterization combined with sensitive drug treatment group:time to return to normal for pus cavity or white blood cell count,time to return to normal temperature,time to disappear pain,mean hospital stay(3.11±0.13)d,(2.21±0.21)d,(3.21±0.13)d,(10.62±0.21)d was shorter than the untreated tube drainage combined with sensitive drug treatment group(4.21±2.24)d,(3.35±1.21)d,(5.24±2.14)d,(12.35±1.61)d(t=6.144,7.021,6.966,7.634,P<0.05).The rate of recurrence of the ultrasound-guided drainage tube combined with sensitive drug treatment group was 0%lower than that of the non-pumped drainage tube combined with sensitive drug treatment group(χ^2=8.176,P<0.05).Conclusion The treatment of liver abscess patients with ultrasound-guided drainage and drainage combined with sensitive drug treatment can obtain high clinical value,which can quickly remove liver abscess,shorten hospital stay and reduce recurrence rate.