摘要
目的 探讨细菌性肝脓肿外科治疗的变化。方法 回顾性总结分析 1974年到 2 0 0 1年间共收集 5 0 0例细菌性肝脓肿病例 ,并分为两组。A组 :1974～ 1990年有 371例 ,B组 :1991～ 2 0 0 1年有 12 9例。结果 两组细菌性肝脓肿发病率和病死率分别为 0 .176 % vs0 .0 5 2 % ,和 4 .5 8% vs1.5 5 % ,外科手术引流率 (TOD)分别为 4 3.6 7%和 17.0 5 % ,三者均有统计学差异 ,P<0 .0 0 1。 B超引导下穿刺引流率 (PPD)分别为 12 .4 %和 30 .2 3% ,呈上升趋势 ,有统计学差异 P<0 .0 0 1。手术组和 B超定位下穿刺组平均住院日分别为 31.6± 5 4 .5和 13.4 3.4 d,有统计学意义 P<0 .0 0 1。结论 B超定位下穿刺引流是一种简便、疗效可靠的治疗方法 。
Objective To study the changing trends of surgical treatment of bacterial liver abscess.Methods 500 cases of bacterial liver abscess were analysed retrospectively from in 1974 to in 2001,371 cases(in the group A)from 1974 to 1990,129 cases (in group B) from 1991 to 2001.Results In two groups morbidity and mortality were respectively 0.176% vs 0.052% and 4.58% vs 1.55%.There were significant decreased (P<0.001).Percutaneous puncture drainage (PPD) rates and transperitionsal operative drainage(TOD) rates in two groups were respective 12.4% vs 30.23% and 43.67% vs 17.05%(P<0.001).The average days of hospitalization in PPD and TOD were 13.4±3.4 vs 31.6±54.5 d respectively (P<0.001).Conclusion PPD can be used for most cases of bacterial liver abscess which is simple and safe,fewer days of hospitalization,lower costs and mortality.TOD has some strict indications.
出处
《肝胆外科杂志》
2002年第2期99-100,共2页
Journal of Hepatobiliary Surgery
关键词
肝脓肿
外科治疗
死亡率
发病率
Liver abscess
Surgcial treatment
Mortality
Morbidity
