早期泡型肝包虫病患者超声引导下微波消融术后肝功能及营养指标变化  

Changes of liver function and nutritional indexes in patients with early alveolar hydatidosis after ultrasound-guided microwave ablation

作　　者：任国亮[1] 李连生[1] 苏伟 丰帆[2] REN Guo-liang;LI Lian-sheng;SU Wei;FENG Fan(Department of Hepatobiliary and Pancreatic and Hernia Surgery,Qinghai Red Cross Hospital(Xining Qinghai,810000)China;不详)

机构地区：[1]青海红十字医院肝胆胰及疝外科,青海西宁810000 [2]青海红十字医院放射科

出　　处：《中西医结合肝病杂志》2022年第6期506-508,512,共4页Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases

摘　　要：目的:探讨早期泡型肝包虫病患者在超声引导下微波消融(MWA)术后肝功能及营养指标变化。方法:选取2020年1月至2020年12月收治的早期泡型肝包虫病患者104例,依据治疗方式分为MWA组(n=52)和手术组(n=52),分析两组患者的总胆红素(TBil)、丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)、血小板计数(PLT)、白细胞计数(WBC)、血红蛋白(Hb)、血清总蛋白(TP)、白蛋白(Alb)、前白蛋白(PA)、术后并发症及复发情况。结果:MWA组患者总有效率为94.23%,明显高于手术组的78.85(P<0.05)。术后MWA组患者血清AST、ALT水平低于手术组(P<0.05),TP、Alb、PA、Hb水平均高于手术组(P<0.05);MWA组并发症发生率为1.92%,低于手术组的15.38%(P<0.05);MWA组住院时间、住院费用少于手术组(P<0.05)。结论:超声引导下MWA治疗早期泡型肝包虫病临床疗效确切,可保护肝功能,降低营养不良风险,减少并发症,值得推广和应用。Objective:To investigate the changes of liver function and nutritional parameters after ultrasound-guided microwave ablation(MWA)for early alveolar hydatidosis.Methods:A total of 104 patients with early alveolar hydatidosis in our hospital from January 2020 to December 2020 were selected and divided into MWA group(52 cases)and operation group(52 cases)according to the treatment methods.The total bilirubin,alanine aminotransferase,aspartate aminotransferase,platelet count,white blood cell count,hemoglobin,albumin,postoperative complications and recurrence of the two groups were analyzed.Results:The total effective rate of MWA group was 94.23%,which was significantly higher than 78.85%of operation group(χ~2=5.283,P=0.022).The levels of serum AST and ALT in MWA group were lower than those in operation group(P<0.05),and the levels of TP,ALB,PA and Hb in MWA group were higher than those in operation group(P<0.05);the incidence of complications in MWA group was 1.92%,lower than that in operation group(χ~2=5.960,P=0.015);the hospitalization time of MWA group was shorter than that of operation group,and the hospitalization expenses were less than that of operation group(P<0.05).Conclusion:Ultrasound guided microwave ablation in the treatment of early alveolar hydatidosis patients has a definite clinical effect,can protect liver function,reduce the risk of malnutrition,reduce complications,worthy of promotion and application.

关 键 词：泡型肝包虫病 微波消融 肝功能 营养指标 

分 类 号：R531[医药卫生—内科学]