经皮穿刺引流术治疗肺脓肿的临床应用  

Application of percutaneous drainage in treatment of pulmonary abscess

作　　者：张硕[1] 朱江[2] 刘长浩[3] 戴继宏[1] 沈春健[4] 

机构地区：[1]武警辽宁总队医院特检科,沈阳110034 [2]武警辽宁总队医院放射科,沈阳110034 [3]武警辽宁总队医院胸科,沈阳110034 [4]沈阳医学院第二附属医院胸科,沈阳110031

出　　处：《武警医学》2010年第3期215-217,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的评价经皮穿刺引流术在肺脓肿治疗中的临床应用价值。方法对35例经皮穿刺引流(治疗组)和同期32例体位引流(对照组)治疗肺脓肿的疗效进行对照分析。结果治疗组第4周治愈率42.86%(15/35),总有效率74.29%(26/35);第5周治愈率57.14%(20/35),总有效率82.86%(29/35)。与对照组比较差异有统计学意义(P<0.05),而治疗组在住院天数、术后体温恢复正常时间、咳嗽消失时间、咳痰消失时间明显优于体位引流组(P<0.01),术后并发症与对照组比较差异无统计学意义(P>0.05)。结论与传统的体位引流相比,经皮肺穿刺引流术可缩短疗程,提高疗效,是一种简便易行、安全可靠的治疗方法。Objective To study the clinical value of pereutaneous drainage for pulmonary abscess. Methods The therapeutic effect of percutaneous drainage on 35 patients with pulmonary abscess was compared with that of postural drainage on 32 such patients. Results The cure rate of pereutaneous drainage was 42.86% （ 15/35 ） and the total effective rate was 74.29% （26/35）at the fourth week. Furthermore, the cure rate of percutaneous drainage was 57.14% （20/35） and the total effective rate was 82.86% （29/35） at the fifth week. There was difference between two groups in the curative ratio （ P 〈 0. 05 ）. But the index such as the duration of hospital stay, the time of body temperature return to normal, cough and expectoration ceasing time in the percutaneous drainage group were superior to those of in the control group. There was no difference between the two groups in postprocedure complication rates （ P 〉0. 05 ）. Conclusions For the treatment of pulmonary abscess, pereutaneous drainage is microtraumatic, safe, simple and reliable, compared with traditional postural drainage.

关 键 词：肺脓肿 超声或CT引导 经皮穿刺引流术 传统体位引流术 

分 类 号：R817.4[医药卫生—影像医学与核医学]