手术与经皮穿刺治疗多房性肝脓肿临床疗效对照研究  

Comparative study of the curative effect of multilocular liver abscess with percutaneous puncture

作　　者：戈建辉 汪斌[1] 丁佑铭[1] GE Jian-hui;WANG Bin;DING You-ming(Department of Hepatobiliary Laparoscopic Surgery,Renmin Hospital of Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院肝胆腔镜外科,湖北武汉430060

出　　处：《创伤与急危重病医学》2018年第6期360-362,共3页Trauma and Critical Care Medicine

基　　金：武汉市科技局科研基金资助项目(201260523178-6)

摘　　要：目的探讨急诊手术与经皮穿刺治疗多房性肝脓肿的临床疗效。方法选取自2014年1月至2017年8月武汉大学人民医院收治的89例多房性肝脓肿患者为研究对象。根据治疗方法不同将患者分为急诊手术组(n=58)和经皮穿刺组(n=31),比较两组的治疗效果、手术时间、肠道功能恢复时间及并发症的发生情况等。结果急诊手术组患者的住院时间、白细胞恢复正常时间均短于经皮穿刺组,组间比较,差异均有统计学意义(P <0. 05);急诊手术组的手术时间、肠道功能恢复正常时间均长于经皮穿刺组,住院费用多于经皮穿刺组,组间比较,差异均有统计学意义(P <0. 05)。急诊手术组的总有效率为96. 6%(56/58),明显高于经皮穿刺组的83. 9%(26/31),组间比较,差异有统计学意义(P <0. 05)。急诊手术组并发症的发生率为15. 5%(9/58),明显高于经皮穿刺组的6. 4%(2/31),组间比较,差异有统计学意义(P <0. 05)。结论结论手术与经皮穿刺治疗多房性肝脓肿的治疗效果均较好,但急诊手术治疗更具优势。Objective To investigate the comparison of the curative effect of multilocular liver abscess with percutaneous puncture.Methods A retrospective study was performed on 89 cases of patients with multilocular liver abscess who were admitted from January 2014 to August 2017.According to different treatments,patients were divided into the emergency operation group（ n =58） and the percutaneous puncture group（ n =31）.The treatment effect,operation time,recovery time of intestinal function and complications were compared between the two groups.Results The length of hospital stay and the recovery time of white blood cells were shorter in the emergency operation group than in the percutaneous puncture group,and the difference was statistically significant（ P 〈0.05）.The operation time and the intestinal function recovery time of the emergency operation group were longer than that of the percutaneous puncture group,and the hospitalization cost was higher than that of the percutaneous puncture group,and the difference was statistically significant（ P 〈0.05）.The total effective rate of the emergency operation group was 96.6%（56/58）,significantly higher than 83.9%（26/31） in the percutaneous puncture group,and the difference was statistically significant（ P 〈0.05）.The incidence of complications in the emergency operation group was 15.5%（9/58）,significantly higher than 6.4%（2/31） in the percutaneous puncture group,and the difference between the two groups was statistically significant（ P 〈0.05）.Conclusion The results of operation and percutaneous puncture in the treatment of multilocular hepatic abscess were good,while the emergency operation had more advantages.

关 键 词：多房性肝脓肿 手术引流 经皮穿刺引流 

分 类 号：R575.4[医药卫生—消化系统]