超声引导经皮肝穿刺置管与腹腔镜手术引流治疗细菌性肝脓肿的疗效分析  

The Analysis of Curative Effect of Ultrasound-Guided Percutaneous Liver Puncture and Laparoscopic Drainage in the Treatment of Bacterial Liver Abscess

作　　者：许笃行 李政 陈宇锋 XU Du-xing;LI Zheng;CHEN Yu-feng(The Department of Hepatobiliary Hernia Surgery,Zhangzhou Hospital,Fujian Medical University,,Fujian Zhangzhou 363000)

机构地区：[1]福建医科大学附属漳州市医院肝胆疝外科,福建漳州363000

出　　处：《中国医疗器械信息》2023年第8期52-54,共3页China Medical Device Information

摘　　要：目的:分析在细菌性肝脓肿患者的治疗工作中应用超声引导下经皮肝穿刺置管引流与腹腔镜手术引流治疗的临床疗效。方法:选取于2021年11月~2022年11月到本院接受诊治的70例细菌性肝脓肿患者作为样本来进行此次研究,将70例患者做随机分组处理后分为两组,分别为研究组以及常规组,每组各纳入患者35例,其中研究组患者采用超声引导经皮肝穿刺置管引流治疗,常规组患者采用腹腔镜手术引流治疗,并对两组患者的治疗结果进行对比分析。结果:统计两组细菌性肝脓肿患者并发症发生情况的差异可知,研究组患者的并发症发生率、围术期指标、各项炎症因子水平、各项实验室检测指标均明显低于常规组(P<0.05);研究组患者的各项生活质量指标评分均显著高于常规组(P<0.05)。结论:对于细菌性肝脓肿患者来说,应采用超声引导经皮肝穿刺置管引流治疗,这种治疗方式可以有效改善患者的实验室检测指标以及围术期指标,提升患者生活质量,降低患者炎性因子水平以及并发症发生率,应用效果十分显著。Objective:To analyze the clinical effect of ultrasound-guided percutaneous liver puncture drainage and laparoscopic drainage in the treatment of bacterial liver abscess.Methods:The patients with bacterial liver abscess who were treated in our hospital from November 2021 to November 2022 were selected as samples for this study.The 70 patients were randomly divided into two groups,namely the study group and the conventional group.Each group included 35 patients,of which the patients in the study group were treated with ultrasound-guided percutaneous liver puncture drainage,and the patients in the conventional group were treated with laparoscopic surgery drainage,the treatment results of the two groups were compared and analyzed.Results:According to the statistics of the differences in the incidence of complications in patients with bacterial liver abscess between the two groups,the incidence of complications,perioperative indicators,levels of inflammatory factors and laboratory test indicators in the study group were significantly lower than those in the conventional group(P<0.05);The scores of various quality of life indicators in the study group were significantly higher than those in the conventional group(P<0.05).Conclusion:For patients with bacterial liver abscess,ultrasound-guided percutaneous liver puncture and drainage should be used.This treatment can effectively improve the laboratory test indicators and perioperative indicators of patients,improve the quality of life of patients,reduce the level of inflammatory factors and the incidence of complications.The application effect is very significant.

关 键 词：超声引导经皮肝穿刺置管 腹腔镜手术 细菌性肝脓肿 疗效 

分 类 号：R657.33[医药卫生—外科学]