介入性超声治疗腹部外科术后并发症42例  

Interventional ultrasound in management of the post-operative complications of abdominal surgery

作　　者：张良西[1] 鲁柯兵[1] 江峰[1] 徐华平[2] 蒋大平[2] 

机构地区：[1]皖南医学院附属弋矶山医院超声医学科,安徽芜湖241001 [2]皖南医学院附属弋矶山医院普外科,安徽芜湖241001

出　　处：《皖南医学院学报》2010年第2期133-135,共3页Journal of Wannan Medical College

摘　　要：目的:评价超声引导下徒手穿刺置管引流术在腹部外科手术后并发症处理中的应用价值。方法::回顾性分析超声引导下徒手穿刺置管引流术应用于42例积液类并发症治疗中的临床资料(治疗组),并与同期20例行单纯临床支持保守治疗的资料(对照组)相比较。结果:介入性超声治疗组和单纯保守治疗组的治愈率及平均外科术后住院天数分别为90.5%、55%及(10.7±4.5)d、(22.5±7.5)d;两组比较均有显著性差异(P<0.01)。结论:超声引导下徒手穿刺置管引流术是治疗腹部外科手术后积液类并发症的有效、安全、简便方法。Objective：To assess the value of interventional ultrasound guided manual insertion of catheter drainage in management of the post-operative complications of abdominal surgery.Methods：The clinical data were retrospectively studied in 42 cases with post-operative complications of peritoneal effusions managed by interventional ultrasound guided free-hand insertion of catheter drainage（treatment group）and compared with the corresponding data of 20 cases received simply supported conservative therapy（control group）.Results：The recovery rate was 90.5% for the former and 55% for the latter,and the hospital stay lasted for（10.7±4.5）d and（22.5±7.5）d,respectively.The difference was significant between the two groups（P〈0.01）.Conclusion：Manual insertion of catheter drainage under the interventional ultrasound guidance can be effective,safe and simple in management of the complications in cases with post-operative peritoneal effusion after undergoing abdominal surgery.

关 键 词：介入性超声 腹部外科 积液类并发症 

分 类 号：R454.3[医药卫生—治疗学]