超声介入置管冲洗对腹腔脏器脓肿和腹腔脓肿的效果观察  

The Effect of Ultrasound Interventional Catheterization and Irrigation on Abdominal Organ Abscess and Abdominal Abscess

作　　者：陈衍池 CHEN Yanchi(Department of Ultrasound,Youxi County General Hospital,Sanming 365100,China)

机构地区：[1]福建省尤溪县总医院超声科,福建三明365100

出　　处：《中国医药指南》2023年第29期81-84,共4页Guide of China Medicine

摘　　要：目的 研究超声介入置管冲洗对腹腔脏器脓肿和腹腔脓肿的效果。方法 选取福建省尤溪县总医院于2010年1月至2021年12月收治的腹腔脏器脓肿和腹腔脓肿患者60例(腹腔脏器脓肿/腹腔脓肿:48例/12例),观察组(30例,超声介入置管引流+生理盐水和抗菌药物冲洗治疗)和对照组(30例,单纯超声介入置管引流治疗)。结果 观察组总有效率为96.67%,高于对照组(χ^(2)=14.853,P <0.05)。观察组与对照组术后引流时间对比结果差异显著(P <0.05)。观察组术后发热、抗感染、住院时间均低于对照组(t=9.648、5.720、13.193,P <0.05)。观察组患者白细胞介素6、C反应蛋白均低于对照组(t=9.648、5.720、13.193,P <0.05)。观察组患者生理、社会、情感、活力评分均高于对照组(t=9.648、5.720、13.193,P <0.05)。观察组患者治疗感受满意的占比为100%,高于(χ^(2)=5.457,P <0.05)。观察组腹部脓肿患者感染、出血、肠瘘发生率分别为3.33%、3.33%、3.33%,与对照组对比结果差异不显著(P> 0.05)。结论 超声介入置管引流+生理盐水和抗菌药物冲洗治疗能有效提高腹腔脏器脓肿和腹腔脓肿患者临床疗效,缩短术后引流和住院时间,且不增加出血、肠瘘等风险,感染风险虽然增加但可以预防,总体效果优于单纯超声引导穿刺引流治疗。Objective To study the effect of ultrasound interventional catheter irrigation on abdominal organ abscess and abdominal abscess.Methods Select 60 patients(abdominal organ abscess/abdominal abscess/12 patients admitted from January 2010 to December 2021,observation group(30 patients,ultrasound interventional catheterization and drainage + normal saline and antimicrobial irrigation) and control group(30 patients,ultrasound interventional catheterization and drainage alone).Results The total response rate in the observation group was 96.67%,higher than that of the control group(χ^(2)=14.853,P<0.05).The results of postoperative drainage time varied significantly between the observed and control groups(P<0.05).Postoperative fever,anti-infection and hospitalization in the observation group were lower than the control group(t=9.648,5.720,13.193,P<0.05).Patients in the observation group had interleukin 6 and C reactive protein lower than those in the control group(t=9.648,5.720,13.193,P<0.05).The physiological,social,emotional,and vitality scores in the observation group were higher than those in the control group(t=9.648,5.720,13.193,P<0.05).The proportion of observation group was 100%,higher than(χ^(2)=5.457,P<0.05).The incidence of infection,bleeding and intestinal fistula were 3.33%,3.33% and 3.33%,respectively,with the difference between the control group(P>0.05).Conclusions ultrasound interventional catheter drainage + saline and antibacterial irrigation treatment can effectively improve the abdominal viscera abscess and abdominal abscess patients clinical curative effect,shorten the postoperative drainage and hospital stay,and does not increase the risk of bleeding,intestinal fistula,although the risk of infection but can be prevented,the overall effect is better than simple ultrasound guide puncture drainage treatment,so more promotion value.

关 键 词：腹部脓肿 超声介入置管引流+生理盐水和抗菌药物冲洗 超声引导穿刺引流 临床治疗效果 

分 类 号：R735[医药卫生—肿瘤]