彩色多普勒超声介入治疗肝脓肿患者的临床价值

Clinical Value of Color Doppler Ultrasound in the Interventional Treatment of Liver Abscess

目的分析彩色多普勒超声介入治疗肝脓肿患者的临床价值。方法选取2019年1月至2020年1月我院肝脓肿患者96例,按随机数字表法分为观察组(n=48)与对照组(n=48),对照组采用常规外科切开引流手术治疗,观察组采用彩色多普勒超声介入治疗,对比两组疗效、围术期情况(住院时间、白细胞数恢复正常时间、体温恢复时间、拔管时间)变化及并发症发生率(出血、高热、腹膜炎、胆瘘)情况。结果观察组总有效率95.83%(46/48)高于对照组83.33%(40/48),差异有统计学意义(P<0.05);观察组住院时间、白细胞数恢复正常时间、体温恢复时间、拔管时间短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率2.08%(1/48)低于对照组25.00%(12/48),差异有统计学意义(P<0.05)。结论采用彩色多普勒超声介入治疗肝脓肿患者可提高手术效果,降低并发症发生率,缩短拔管和体温恢复时间,促术后白细胞复常,加快术后恢复进程,值得临床应用。

Objective To analyze the clinical value of color Doppler ultrasound in interventional treatment of liver abscess.Methods 96 patients with liver abscess in our hospital from January 2019 to January 2020 were selected and randomly divided into the observation group(n=48)and the control group(n=48).The control group was treated with conventional surgical incision and drainage,and the observation group was treated with color Doppler ultrasound intervention.The curative effect and perioperative conditions(hospitalization time,white blood cell count recovery time,body temperature recovery time,body temperature recovery time)of the two groups were compared.The change of extubation time and the incidence of complications(bleeding,high fever,peritonitis,biliary fistula)were analyzed.Results the total effective rate of the observation group was 95.83%(46/48),which was higher than 83.33%(40/48)of the control group(P<0.05);The hospitalization time,WBC count recovery time,body temperature recovery time and extubation time of the observation group were shorter than those of the control group(P<0.05);The incidence of complications in the observation group was 2.08%(1/48),which was lower than 25.00%(12/48)in the control group(P<0.05).Conclusion Color Doppler ultrasound intervention in the treatment of liver abscess can improve the surgical effect,reduce the incidence of complications,shorten the time of extubation and body temperature recovery,promote the recovery of white blood cells,and accelerate the process of postoperative recovery,which is worthy of clinical application.