超声介入下经皮肝脏穿刺置管引流术治疗肝脓肿的效果分析  

Analysis of the Therapeutic Effect of Percutaneous Liver Puncture With Catheter Drainage Under Ultrasound Intervention for Liver Abscess

作　　者：蔡炳冈 薛荣荣 陈娴 CAI Binggang;XUE Rongrong;CHEN Xian(Department of Infectious Diseases,The First People's Hospital of Yancheng,Yancheng Jiangsu 224000,China)

机构地区：[1]盐城市第一人民医院感染性疾病科,江苏盐城224000

出　　处：《中国卫生标准管理》2025年第2期106-109,共4页China Health Standard Management

摘　　要：目的分析超声介入下经皮肝脏穿刺置管引流术在肝脓肿治疗中的效果。方法将盐城市第一人民医院感染性疾病科2023年5月—2024年4月52例肝脓肿患者纳入研究,随机分为常规组与超声组,每组26例。常规组采用普通抗感染治疗,超声组采用超声介入下经皮肝脏穿刺置管引流术。比较2组的临床指标(体温复常时间、降钙素原复常时间,白介素-6复常时间、白细胞计数复常时间、住院天数)、临床疗效及并发症发生情况(弥漫性腹膜炎、切口感染、胆瘘、脓气胸)。结果超声组的体温复常时间为(3.72±0.77)d、降钙素原复常为时间(6.80±1.03)d、白介素-6复常时间为(6.22±1.00)d、白细胞计数复常时间为(6.68±1.37)d、住院天数为(16.74±2.56)d,短于常规组的(5.95±0.89)d、(7.74±1.16)d,(7.37±1.10)d、(8.34±1.14)d、(20.35±3.11)d,差异有统计学意义(P<0.05)。超声组的总有效率(100%)高于常规组(76.92%),差异有统计学意义(P<0.05)。超声组的并发症发生率(3.85%)略低于常规组(11.54%),差异无统计学意义(P>0.05)。结论超声介入下经皮肝脏穿刺置管引流术在肝脓肿治疗中的效果较好,可改善临床指标,促进患者康复,且能进一步提高治疗效果,减少并发症,有效性与安全性兼具,可采纳、运用。Objective To analyze the effect of percutaneous liver puncture and catheter drainage with ultrasonic intervention in the treatment of liver abscess.Methods A total of 52 patients with liver abscess from May 2023 to April 2024 in the department of infectious diseases,the First People's Hospital of Yancheng were included in the study and randomly divided into routine group and ultrasound group,with 26 cases in each group.The conventional group was treated with general anti-infection treatment,and the ultrasound group was treated with percutaneous liver puncture and catheter drainage.The clinical indexes(temperature normalizing time,procalcitonin normalizing time,interleukin-6 normalizing time,white blood cell count normalizing time,hospitalization days),clinical efficacy and complications(diffuse peritonitis,incision infection,biliary fistula,pyopneumopneumothorax)of the two groups were compared.Results The temperature normalization time of the ultrasound group was(3.72±0.77)days,the procalcitonin normalization time was(6.80±1.03)d,the interleukin-6 normalization time was(6.22±1.00)d,the white blood cell count normalization time was(6.68±1.37)d,and the length of hospital stay was(16.74±2.56)d,which were shorter than those of the conventional group[(5.95±0.89)d and(7.74±1.16)d,(7.37±1.10)d].The difference between(8.34±1.14)d and(20.35±3.11)d of the conventional group,and the differences were significant(P<0.05).The total effective rate of the ultrasound group(100%)was higher than that of the conventional group(76.92%),and the difference was significant(P<0.05).The incidence of complications in the ultrasound group(3.85%)was slightly lower than that in the conventional group(11.54%),and the difference was no significant(P>0.05).Conclusion Percutaneous hepatic puncture and drainage with ultrasonic intervention has a good effect in the treatment of liver abscess,which can improve clinical indicators,promote the rehabilitati on of patients,and further improve the therapeutic effect and reduce complications.It

关 键 词：超声介入 经皮肝脏穿刺置管引流术 肝脓肿 治疗效果 临床指标 临床疗效 并发症 

分 类 号：R575[医药卫生—消化系统]