经皮腹腔穿刺置管引流在腹部闭合性损伤并脾挫裂伤诊疗中的应用体会  

Application of percutaneous abdominal puncture and drainage in the diagnosis and treatment of closed abdominal injury combined with splenic contusion and laceration

作　　者：韦利程[1] WEI Licheng(General Surgery Department of Hechi People's Hospital,Guangxi Hechi 547001,China)

机构地区：[1]河池市人民医院普通外科,广西河池547001

出　　处：《临床普外科电子杂志》2022年第4期41-44,共4页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的探究经皮腹腔穿刺置管引流在腹部闭合性损伤合并脾挫裂伤诊疗中的应用效果。方法选取2016年1月至2021年6月河池市人民医院收治的52例腹部闭合性损伤合并脾挫裂伤患者,均经皮腹腔穿刺置管引流非手术治疗。回顾性分析患者的临床资料,统计患者临床诊疗结果、并发症发生情况与生活质量改善情况。结果52例腹部闭合性损伤并脾挫裂伤患者中,51例患者穿刺结果为阳性,穿刺阳性率和准确率均为98.08%。1例因穿刺并发症所致假阳性,穿刺并发症发生率为1.92%。所有患者均无非治疗性剖腹手术和死亡。其中,除1例继发出血、1例迟发肠道穿孔而中转开腹手术外,剩余50例均经保守治疗痊愈出院,保守治疗成功率为96.15%。随访3个月后,除1例粘连性肠梗阻外,其余均未出现并发P症。患者随访3个月的生活质量评分明显高于出院前,差异有显著性(<0.05)。结论经皮腹腔穿刺置管引流治疗腹部闭合性损伤合并脾挫裂伤,穿刺阳性率与诊断准确率较高,同时能减少穿刺并发症,提升患者保守治疗成功率,改善患者的生活质量。Objective To explore the effect of percutaneous abdominal puncture and drainage in the diagnosis.Method and treatment of closed abdominal injury combined with splenic contusion and laceration From January 2016 to June 2021,52 patients with closed abdominal injury combined with splenic contusion and laceration admitted to Hechi People's Hospital were selected for non-surgical treatment through percutaneous abdominal.puncture and drainage The clinical data of the patients were analyzed retrospectively,and the clinical diagnosis and.Result treatment results,complications and improvement of quality of life were counted Among 52 patients with.closed abdominal injury and splenic contusion and laceration,51 patients had positive puncture results The positive..rate and accuracy of puncture were 98.08%One case was false positive due to puncture complications The.incidence of puncture complications was 1.92%Moreover,none of the patients in this study had non therapeutic.laparotomy and death Among them,except for 1 case of secondary bleeding and 1 case of delayed intestinal perforation,the remaining 50 cases were cured and discharged after conservative treatment,and the success rate.of conservative treatment was 96.15%After 3 months of follow-up,there were no complications except 1 case of adhesive intestinal obstruction,and the quality of life score of the patients was significantly higher than that P.Conclusion before discharge(<0.05)Percutaneous abdominal puncture and catheter drainage for the treatment of abdominal closed injury combined with splenic contusion and laceration has a high positive rate of puncture.and diagnostic accuracy At the same time,it can reduce puncture complications,improve the success rate of conservative treatment,and improve the quality of life of patients.

关 键 词：经皮腹腔穿刺置管引流 腹部闭合性损伤 脾挫裂伤 应用 效果 

分 类 号：R47[医药卫生—护理学]