CT引导下经腹腔穿刺器放置黎氏管引流术治疗腹腔脓肿的疗效观察  

Observation on the Curative Effect of the Treatment of Abdominal Abscess with the Drainage of Li′s Tube Through the Abdominal Puncture Under the Guidance of Computed Tomography

作　　者：熊诗萌 余稳稳[1] 刘志昌 刘虎山 于建平 陈鹏 吴金玲 刘宏斌[1] XIONG Shimeng;YU Wenwen;LIU Zhichang;LIU Hushan;YU Jianping;CHEN Peng;WU Jinling;LIU Hongbin(Second School of Clinical Medical,Lanzhou University,Lanzhou Gansu 730030,China)

机构地区：[1]兰州大学第二临床医学院,甘肃兰州730030 [2]联勤保障部队940医院质量管理科 [3]联勤保障部队940医院普外科

出　　处：《华南国防医学杂志》2022年第1期28-32,共5页Military Medical Journal of South China

基　　金：甘肃省教育厅优秀研究生“创新之星”项目(2021CXZX-155)。

摘　　要：目的探讨电子计算机断层扫描(computed tomography, CT)引导下经腹腔穿刺器放置黎氏管持续冲洗引流治疗腹腔脓肿的疗效。方法选取2017-06/2021-01月作者医院收治的90例腹腔脓肿患者,根据治疗手段不同分为观察组(n=40)和对照组(n=50)。观察组在CT引导下经腹腔穿刺器放置黎氏管持续冲洗引流,对照组行开腹手术清除脓肿并放置黎氏管冲洗引流。比较两组治疗总有效率、体温恢复时间、住院时间、治疗前后血清炎症因子水平变化情况以及并发症发生率。结果观察组治疗总有效率高于对照组(P<0.05);观察组住院时间短于对照组(P<0.05)。治疗后两组患者血清炎症因子白细胞介素6(interleukin 6,IL-6)、C反应蛋白(C-reaction protein, CRP)、降钙素原(procalcitonin, PCT)水平均明显降低,且观察组优于对照组(P<0.05)。观察组治疗后并发症发生率低于对照组(P<0.05)。结论 CT引导下经腹腔穿刺器放置黎氏管持续冲洗引流治疗腹腔脓肿有助于改善患者临床症状和体征,减少并发症,缩短住院时间,疗效显著。Objective To explore the curative effect of continuous washing and drainage of Li′s tube through abdominal puncture under computed tomography(CT) guidance in the treatment of abdominal abscess.Methods A total of 90 patients with abdominal abscess admitted in authors′ hospital from June 2017 to January 2021 were selected and divided into observation group(n=40) and control group(n=50) according to different treatments.The observation group was received continuous washing and drainage of Li′s tube through abdominal puncture under CT guidance, the control group was treated with open surgery to remove abscess and placed Li′s tube for continuous washing and drainage. The total effective rate, the recovery time of body temperature, the length of hospitalization, serum levels of inflammatory factors before and after treatments, complication rate of two groups were compared.Results The total effective rate of treatments in the observation group was higher than that in the control group(P<0.05). The length of hospitalization in the observation group was shorter than that in the control group(P<0.05). After treatments, the serum levels of interleukin 6(IL-6), C-reaction protein(CRP) and procalcitonin(PCT) of the two groups were significantly reduced, and the observation group was better than the control group(P<0.05). The incidence of complications after treatments in the observation group was lower than that in the control group(P<0.05). Conclusion CT-guided placement of the Li′s tube through the abdominal puncture and continuous washing and drainage for the treatments of abdominal abscess can help improve clinical symptoms and signs of the patient, reduce complication rate, shorten the length of hospitalization, which have a significant effect.

关 键 词：腹腔脓肿 持续冲洗引流 电子计算机断层扫描引导 腹腔穿刺器 黎氏管 

分 类 号：R656[医药卫生—外科学]