CT导引下抽吸引流治疗肺脓肿的临床研究  

Study on clinical application of lung abscess drainage therapy under CT guidance

作　　者：崔伟锋[1] 乔忆莲[1] 许国增[1] 林新[1] 

机构地区：[1]广州市番禺区中医院CT室,广东省广州511400

出　　处：《中国基层医药》2007年第4期555-556,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨CT导引下肺脓肿抽吸引流的临床疗效。方法将42例肺脓肿患者随机分为A、B两组,每组各21例。A组予以常规方法即止咳、化痰、抗感染、体位引流治疗。B组在CT导引下抽吸引流并予以抗菌药治疗。两组患者疗程均为3周。结果A组总有效率66．7%（14/21）;B组总有效率95．2%（20/21）。两组疗效比较差异有统计学意义（P＜0．01）。结论CT导引下抽吸引流治疗肺脓肿可提高疗效,缩短疗程,避免外科手术,是简便易行、安全的治疗方法,值得临床推广应用。Objective To observe the result of lung abscess by drainage therapy under CT guidance. Methods 42 patients were divided into two groups randomly. Group A（ n = 21） received traditional therapy such as antibiotics, relieving cough,pos＇cural drainage, etc. The other 21 patients （group B） received drainage therapy under CT guidance and antibiotics. Results In group A, the effective rate was 66.7 % （ 14/21 ） ; In group B, the effective rate was 95.2 % （20/21 ）. They had apparent difference（P 〈 0.01 ）. Conclusions The drainage therapy under CT guidance for lung abscess can increase the therapeutic effect, decrease the course of treatment and avoid the operation. Therefore,it is a safe, simple and convenient method,which is worth of spreading in clinic work.

关 键 词：肺脓肿 体层摄影术 X线计算机 介入性治疗 引流术 

分 类 号：R563[医药卫生—呼吸系统]