摘要
目的通过肝脓肿介入性超声不同治疗方法疗效对比分析,探讨肝脓肿的最佳治疗方法。方法将68例肝脓肿患者随机分为三组,在全身有效抗生素应用的同时,分别行超声引导下经皮穿刺抽脓后无水酒精冲洗治疗组(26例)、穿刺抽脓后抗生素冲洗治疗组(30例)、经皮穿刺置管引流组(12例)。观察并记录了其平均治愈时间、单病灶治疗次数、术后并发症及发烧患者术后体温恢复时间等,结果68例病人中,除一例合并肺脓疡的患者介入治疗效果不佳转入外科手术,并且术后死于并发症外,其余均治愈,无并发症出现,酒精治疗组平均治愈时间及术后体温恢复正常时间最短,置管引流组最长。三组之间差异有显著性(P<0.01)。结论超声引导下经皮穿刺无水酒精冲洗肝脓肿安全、经济、效果良好,值得进一步推广。
Objective To compare the efficacy of different methods in the treatment of hepatic abscess with interventional ultrasound.Methods 68 patients with clinically proved hepatic abscess(HA)were randomly divided into following three groups:first group(n=26):combined with systemic antibiotic therapy,percutaneous aspiration and catheter drainage of hepatic abscess and then absolute alcohol lavage;second group(n=30):percutaneous aspiration and catheter drainage of HA and then antibiotic lavage;third group (n=12):percutaneous aspiration and remainning catheter drainage:The average cure period,treating times of single lesion,postoperative complication,and the recovery duration of the temperature in all patients were carefully observed and recorded.Results Among 68 patients,67 patients were completely cured and any complication did not occurred,except 1 case was complicated with lung abscess and then died of the complication.Based on the comparison of the treatment efficacy between three groups,the most optimal efficacy such as the most short cure period and temperature recovery as well as the longest remainning catheter drainage time were found in first group,there were significant difference between three groups(p< 0.01).Conclusions Ultrasound guided percutanous aspiration and catheter drainage and then absolute alcohol lavage is a safe,economic and effective means to HA and it is worthy to be recommended. [
出处
《实用医学影像杂志》
2003年第4期230-232,共3页
Journal of Practical Medical Imaging
关键词
肝脓肿
介入性超声
治疗
Hepatic abscess
Interventional ultrasound
Treatment
