超声与CT引导下经皮肝穿刺引流治疗肝脓肿的对比分析  

Comparative analysis of ultrasoundgraphy and CT guided percutaneous paracentesis for liver abscess

作　　者：郑恩海[1] 张建辉[1] 林诗彬[1] 关莹[1] 

机构地区：[1]海南医学院附属医院超声科,海南海口570102

出　　处：《重庆医学》2014年第22期2884-2885,共2页Chongqing medicine

摘　　要：目的对比分析超声引导与CT引导下经皮肝穿刺引流治疗肝脓肿优劣,为肝脓肿的穿刺引流治疗提供参考。方法经超声引导下经皮肝穿刺引流或置管治疗肝脓肿患者68例作为超声组,同期经CT引导下经皮肝穿刺引流治疗肝脓肿38例作为CT组。比较两组患者穿刺成功率、穿刺时间、治疗效果及并发症发生率。结果超声组1次穿刺成功率(81.7%)与CT组(82.6%)比较差异无统计学意义(χ2=0.016 2,P=0.898 6)。超声组操作完成时间(22.3±5.6)min较CT组(25.6±4.8)min显著缩短(t=3.057 4,P<0.05)。超声组治愈率(91.2%)与CT组(92.1%)比较差异无统计学意义(χ2=0.027 1,P=0.869 3)。两组并发症发生率(5.88%,8.57%)比较差异无统计学意义(χ2=0.010 1,P=0.920 1)。结论无论超声或CT引导下经皮肝脓肿穿刺引流均安全有效,相比而言,超声引导更加便利、经济。Objective To explore differences of ultrasoundgraphy and CT guided percutaneous paracentesis for liver abscess and provide references for the paracentesis treating of liver abscess .Methods 68 patients with liver abscess arranged ultrasoundgraphy guided percutaneous paracentesis were regarded as ultrasound group ,and 38 patients accepted CT guided percutaneous paracentesis were considered as CT group .The succeed rate of paracentesis ,operation period ,treatment effectiveness ,complications of the 2 groups were compared .Results The succeed rate of paracentesis in ultrasound group （81 .7% ） was not different obviously to CT group（82 .6% ） （χ2 =0 .016 2 ,P=0 .898 6） .The operation period of ultrasound group（22 .3 ± 5 .6）min was shorten than CT group （25 .6 ± 4 .8）min ,t= 3 .057 4 ,P〈 0 .05 .The heal rate of the 2 groups（91 .2% ,92 .1% ） was not different （χ2 = 0 .027 1 ,P=0 .869 3） .There was no different of the complications in the 2 groups（5 .88% ,8 .57% ）（χ2 =0 .010 1 ,P=0 .920 1） .Conclusion Either ultrasoundgraphy or CT guided percutaneous paracentes is feasible and safe for liver abscess .Compared to CT ,the ultra-soundgraphy is more convenient and economic .

关 键 词：超声 经皮肝穿刺 肝脓肿 

分 类 号：R575.4[医药卫生—消化系统] R445[医药卫生—内科学]