超声引导下穿刺置管引流术治疗脊柱术后术区血肿研究  

Ultrasound-guided puncture catheter drainage in the treatment of hematoma after spinal surgery

作　　者：金壮[1] 曹军英[1] 张筠[1] 里子彧[1] 刘聪[1] 于馨[1] 

机构地区：[1]沈阳军区总医院超声科,辽宁沈阳110016

出　　处：《临床军医杂志》2018年第1期16-18,共3页Clinical Journal of Medical Officers

基　　金：全军保健专项课题(16BJZ43)

摘　　要：目的探讨超声引导下穿刺置管引流术治疗脊柱术后术区血肿的临床疗效。方法选取2012—2017年间沈阳军区总医院收治的105例脊柱术后术区血肿患者为研究对象,根据不同的治疗方法分为穿刺置管引流组(n=36)、保守治疗组(n=34)及切开引流组(n=35),经治疗后,比较3组患者有效率、症状持续时间及术后住院天数。结果术后第1天,穿刺置管引流组患者的有效率高于保守治疗组,但低于切形引流组,差异有统计学意义(P<0.05);切开引流组患者的有效率高于保守治疗组,差异有统计学意义(P<0.05)。术后第5天,穿刺置管引流组患者的有效率高于保守治疗组,差异有统计学意义(P<0.05);穿刺置管引流组与切开引流组患者的有效率比较,差异无统计学意义(P>0.05)。3组患者治疗后均未发生严重不良反应。穿刺置管引流组患者的症状持续时间及术后住院天数显著低于保守治疗组,差异有统计学意义(P<0.05);比较穿刺置管引流组与切开引流组患者的症状持续时间及术后住院天数,差异无统计学意义(P>0.05)。结论超声引导下穿刺置管引流术的疗效明显优于保守治疗,与切开引流术疗效相当,但极大地避免了患者行外科手术的痛苦,具有创伤小、安全、简便、经济、有效等优点,患者易于接受。Objective To investigate the clinical value of ultrasound-guided puncture catheter drainage in treatment of hematoma after spinal surgery. Methods A retrospective study was performed on 105 cases of patients with hematoma after spinal surgery from 2012 to 2017. According to different treatment methords,patients were divided into the puncture drainage group（ n = 36）,conventional group（ n = 34） and incision drainage group（ n = 35）. After treatment,the effective rate,duration of symptoms and postoperative hospital stay were compared in 3 groups. Results On the day 1 after operation,the effective rate in the puncture drainage group were higher than that in the conventional group and lower then that in the incision drainage group（ P 〈 0. 05）; the effective rate in the incision drainage group was higher than that in the conventional group（ P 〈 0. 05）. On the day 5 after operation,the effective rate in the puncture drainage group was higher than that in the conventional group（ P 〈 0. 05）; the effective rate had no statistically significant difference between the puncture drainage group and incision drainage group（ P 〉 0. 05）. There was no adverse reaction in the 3 groups. The duration of symptoms and postoperative hospital stay in the puncture drainage group were significantly lower than those in the conventional group（ P 〈0. 05）; there was no statistically significant difference in the duration of symptoms and postoperative hospital stay between the puncture drainage group and the incision drainage group（ P 〉 0. 05）. Conclusion The curative effect of ultrasound-guided puncture catheter drainage is superior to the conventional treatment and has the same curative effect with incision drainage,which greatly avoids the pain of the patients undergoing surgery,with the advantages of micro trauma,safe,convenient and effective,which is easier to be accepted by the patients.

关 键 词：脊柱 术区血肿 超声 置管引流 

分 类 号：R455.1[医药卫生—运动医学]