超声引导下一步与两步穿刺法介入治疗肝脓肿的效果比较  

Comparison of Interventional Treatment of Liver Abscess with Ultrasound Guided One Step and Two Step Puncture

作　　者：魏栋 郑章增 郭启龙 WEI Dong;ZHENG Zhangzen;GUO Qilong(Department of Ultrasound,Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]南阳市中心医院超声诊断科,河南南阳473000

出　　处：《河南医学研究》2023年第6期1051-1054,共4页Henan Medical Research

摘　　要：目的对比超声引导下一步穿刺法与两步穿刺法介入治疗肝脓肿的效果。方法采用前瞻性随机对照研究,将2019年5月至2022年5月南阳市中心医院收治的肝脓肿患者通过随机数表法分为一步法组和两步法组。一步法组在肝脓肿介入治疗中采用一步法穿刺流程,两步法组则采用两步法穿刺流程。对比两组穿刺时间、一次性穿刺成功率;对比两组术后相关临床参数;记录两组患者住院期间并发症情况。结果本研究遵循纳入及排除标准共纳入107例患者,一步法组54例,两步法组53例;试验过程中,一步法组剔除2例、中止1例;两步法组剔除1例、中止1例,最终每组均纳入51例患者。一步法组穿刺时间短于两步法组(P<0.05);一步法组一次性穿刺成功率为88.23%,6例失败后进行第2次穿刺均成功,两步法组均一次性穿刺成功;两步法组一次性穿刺成功率高于一步法组(P<0.05);两组置管时间、术后体温恢复时间及血常规恢复时间比较,差异无统计学意义(P>0.05);两组住院期间,术后出血、术后导管引流不畅、术后脱管及术后疼痛比较,差异无统计学意义(P>0.05)。结论肝脓肿患者行超声引导下介入时一步穿刺法与两步穿刺法在术后恢复情况及并发症发生率上相似,但采用一步穿刺法可节省穿刺时间,而两步穿刺法可提高一次性穿刺成功率。Objective To compare the effect of ultrasound-guided one-step puncture and two-step puncture in the interventional treatment of liver abscess.Methods A prospective randomized controlled study was conducted.Patients with liver abscess admitted to Nanyang Central Hospital from May 2019 to May 2022 were randomly divided into one-step group and two-step group.The one-step puncture procedure was used in the interventional treatment of liver abscess in the one-step group,and the two-step puncture procedure was used in the two-step group.The puncture time and the success rate of one-time puncture were compared between the two groups.The relevant clinical parameters were compared between the two groups.At the same time,the complications of the two groups during hospitalization were recorded.Results A total of 107 patients were included in this study according to the inclusion and exclusion criteria,54 in the one-step group and 53 in the two-step group.During the experiment,2 cases were excluded and 1 case was suspended in the one-step group.In the two-step group,1 case was excluded and 1 case was discontinued,and 51 patients were included in each group.The puncture time of one-step group was shorter than that of two-step group(P<0.05).The success rate of one-time puncture was 88.23%in the one-step group,and the second puncture was successful in 6 cases after failure,and the one-time puncture was successful in the two-step group.The success rate of one-time puncture in the two-step group was higher than that in the one-step group(P<0.05).There was no statistical significant difference between the two groups in catheter insertion time,postoperative temperature recovery time and blood routine recovery time(P>0.05).During hospitalization,there was no statistical significant difference between the two groups in postoperative bleeding,postoperative catheter drainage,postoperative tube removal and postoperative pain(P>0.05).Conclusion The one-step puncture method is similar to the two-step puncture method in postoperative recov

关 键 词：肝脓肿 超声引导介入治疗 一步穿刺法 两步穿刺法 

分 类 号：R445.1[医药卫生—影像医学与核医学]