一步法穿刺与两步法穿刺治疗细菌性肝脓肿的效果比较

Comparison of therapeutic effect of one-step puncture and two-step puncture on bacterial liver abscess

目的比较一步法穿刺和两步法穿刺治疗细菌性肝脓肿的临床效果。方法回顾性抽取2019年10月至2021年10月郑州大学第一附属医院收治的肝脓肿患者68例,依据穿刺引流方式分为研究组(35例,一步法穿刺方式治疗)和对照组(33例,两步法穿刺方式治疗)。比较两组治疗效果、围术期指标、炎性相关指标水平及并发症发生情况。结果两组治疗总有效率比较差异未见统计学意义(P>0.05)。研究组穿刺时间短于对照组,一次性穿刺成功率低于对照组(P<0.05);两组脓腔消失时间比较差异未见统计学意义(P>0.05)。术后,两组炎性相关指标水平低于术前,且研究组低于对照组(P<0.05)。两组术后总并发症发生率比较差异未见统计学意义(P>0.05)。结论一步穿刺法与两步穿刺法治疗肝脓肿的效果、并发症发生率相似,一步法穿刺时间较短,两步穿刺法一次性穿刺成功率较高,临床应根据个体情况选择合适的穿刺方案。

Objective To compare the efficacy of one-step puncture and two-step puncture in the treatment of bacterial liver abscess.Methods A total of 68 patients with liver abscess admitted to the First Affiliated Hospital of Zhengzhou University from October 2019 to October 2021 were selected retrospectively,and they were divided into the research group(35 cases,treated by one-step puncture)and the control group(33 cases,treated by two-step puncture)according to the puncture and drainage method.The treatment effect,perioperative indexes,levels of inflammation related indexes and incidence of complications were compared between the two groups.Results There was no significant difference in the total effective rate between the two groups(P>0.05).The puncture time of the study group was shorter than that of the control group,and the success rate of one-time puncture in the study group was lower than that in the control group(P<0.05).There was no significant difference in abscess disappearance time between the two groups(P>0.05).After surgery,the levels of inflammation related indexes of the two groups were lower than those before operation,and the study group had lower levels of inflammation related indexes than the control group(P<0.05).There was no significant difference in the total incidence of complications between the two groups after surgery(P>0.05).Conclusions The efficacy and incidence of complication of one-step puncture are consistent with two-step puncture in the treatment of liver abscesses.The one-step puncture requires shorter puncture time,but the two-step puncture has a higher success rate of one-time puncture.Therefore,it is necessary to choose an appropriate puncture method according to the individual situation.