介入超声治疗腹部器官及腹腔感染性病灶的临床疗效观察  

Observation on the clinical efficacy of interventional ultrasound in the treatment of abdominal organs and abdominal cavity infectious lesions

作　　者：许春英 XU Chunying(Department of Ultrasound,Xia′men Fifth Hospital,Xia′men361101,China)

机构地区：[1]厦门市第五医院超声科,福建厦门361101

出　　处：《中国现代医生》2021年第10期114-116,共3页China Modern Doctor

摘　　要：目的观察介入超声治疗腹部器官及腹腔感染性病灶的临床疗效。方法2017年12月~2019年12月回顾性我院收治的65例腹部器官及腹腔感染性病灶患者分为对照组30例和观察组35例。对照组采用腹腔镜切开引流术,观察组均给予介入超声治疗。分析统计两组脓液抽出量、住院时间、引流置管时间,并在随访半年后观察病灶完全痊愈情况。结果观察组的穿刺引流1次成功率、病灶痊愈率[94.29%、97.14%]明显高于对照组[76.67%、80.00%],平均脓液抽出量[(350.17±20.25)mL]显著多于对照组[(340.26±20.11)mL],而平均引流置管时间、平均住院时间[(13.91±3.18)d、(15.72±6.93)d]则明显短于对照组[(15.92±3.09)d、(19.18±6.87)d],差异有统计学意义(P<0.05)。在手术期间均未发生针道周围感染、临近器官损伤、出血等现象。结论介入超声治疗腹部器官及腹腔感染性病灶的临床疗效显著,可明显提高一次穿刺成功率和病灶完全痊愈率,减少术后并发症,安全可靠,在临床中值得推广应用。Objective To observe the clinical efficacy of interventional ultrasound in the treatment of abdominal organs and abdominal cavity infectious lesions.Methods Sixty-five patients with abdominal organs and abdominal cavity infectious lesions admitted to our hospital from December 2017 to December 2019 were retrospectively reviewed and divided into the control group(30 cases)and the observation group(35 cases).The control group received laparoscopic incision and drainage,and the observation group received interventional ultrasound therapy.The amount of pus aspirated,hospital stay,drainage and catheterization time between the two groups were analyzed.The complete recovery of the lesions was observed after half a year of follow-up.Results The one-time success rate of puncture and drainage(94.29%)and the recovery rate of lesions(97.14%)in the observation group were significantly higher than those in the control group(76.67%,80.00%).The average amount of pus aspirated[(350.17±20.25)ml]in the observation group was significantly more than that of the control group[(340.26±20.11)mL],while the average drainage catheter time and the average hospital stay[(13.91±3.18)d,(15.72±6.93)d]of the observation group were significantly shorter than those of the control group[(15.92±3.09)d,(19.18±6.87)d],and the difference was statistically significant(P<0.05).During the operation,there was no infection around the needle tract,damage to nearby organs,or bleeding.Conclusion Interventional ultrasound treatment of abdominal organs and abdominal cavity infectious lesions has a significant clinical effect.It can significantly increase the one-time success rate of puncture and the complete recovery rate of the lesion,reduce postoperative complications,which is safe and reliable and is worthy of clinical application.

关 键 词：介入性超声 腹部器官 腹腔感染 病灶 临床疗效 穿刺置管引流 

分 类 号：R656[医药卫生—外科学]