超声引导下经皮肝穿刺置管引流联合肝动脉置管泵治疗细菌性肝脓肿的效果  

Effect of percutaneous hepatic puncture drainage under ultrasound guidance combined with hepatic artery catheter pump infusion in treatment of bacterial liver abscess

作　　者：孟春英 MENG Chunying(Ultrasound Department,Ningjin County People's Hospital,Dezhou,Shandong 253400,China)

机构地区：[1]宁津县人民医院超声科,山东德州253400

出　　处：《医药前沿》2025年第3期65-68,共4页Journal of Frontiers of Medicine

摘　　要：目的 观察超声引导下经皮肝穿刺置管引流联合肝动脉置管泵治疗细菌性肝脓肿的临床疗效。方法 选取2018年1月—2023年8月宁津县人民医院收治的96例细菌性肝脓肿患者,依据治疗方式的不同将患者分为两组,各48例。所有患者均行超声引导下经皮肝穿刺置管引流治疗,对照组加以外周静脉泵输注抗生素,观察组加以肝动脉置管泵输注抗生素。比较两组患者的治疗效果。结果 观察组治疗总有效率高于对照组,体温恢复正常时间、白细胞计数恢复正常时间短于对照组;且术后的各炎症因子及肝功能指标低于对照组,差异有统计学意义(P<0.05);两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论 超声引导下经皮肝穿刺置管引流联合肝动脉置管泵治疗能减轻细菌性肝脓肿患者症状,降低炎症反应,改善肝功能,无严重并发症。Objective To observe the clinical effect of percutaneous hepatic puncture drainage under ultrasound guidance combined with hepatic artery catheter pump infusion in the treatment of bacterial liver abscess.Methods A total of 96 patients with bacterial liver abscess who were admitted to Ningjin County People's Hospital from January 2018 to August 2023 were selected.Based on different treatment methods,the patients were divided into two groups,with 48 patients in each group.All patients underwent percutaneous hepatic puncture drainage under ultrasound guidance.The control group received peripheral intravenous pump infusion of antibiotics,while the observation group received hepatic artery catheter pump infusion of antibiotics.The treatment outcomes were compared between the two groups.Results The total effective rate of treatment in the observation group was significantly higher than that in the control group(P<0.05).Body temperature returned to normal more quickly and white blood cell count returned to normal earlier in the experimental group than in the control group(P<0.05).Additionally,postoperative inflammatory markers and liver function indices were lower in the observation group,with statistically significant differences(P<0.05).No statistically significant difference in the incidence of complications was observed between the two groups(P>0.05).Conclusions Percutaneous hepatic puncture drainage under ultrasound guidance combined with hepatic artery catheter pump infusion can effectively alleviate symptoms,reduce inflammation,and improve liver function in patients with bacterial liver abscess.It is associated with no severe complications.

关 键 词：细菌性肝脓肿 超声引导 经皮肝穿刺 引流 炎症因子 肝功能 并发症 抗生素 

分 类 号：R575[医药卫生—消化系统]