超声引导下腹腔脓肿穿刺和手术切开引流在腹腔脓肿患者中的应用效果比较(1)
[摘要]目的 比较超声引导下腹腔脓肿穿刺和手术切开引流在腹腔脓肿患者中的应用效果。方法 选取深圳市大鹏新区妇幼保健院2010年10月～2018年1月收治的70例腹腔脓肿患者，按照随机数字表法分为手术组与穿刺组，每组各35例。手术组给予手术切开引流治疗，穿刺组给予超声引导下腹腔脓肿穿刺治疗，比较两组的临床疗效、围术期指标及并发症发生情况。结果 两组经相应治疗后，穿刺组治愈好转率为97.14%，高于手术组的68.57%，差异有统计学意义(χ2=10.057，P<0.01)。穿刺组的住院时间短于手术组，疼痛程度低于手术组(P<0.05)。穿刺组术后并发症总发生率为5.71%(2/35)，低于开腹手术的28.57%(10/35)，差异有统计学意义(P<0.05)。结论 使用超声引导下腹腔脓肿穿刺较手术切开引流治疗腹腔脓肿可明显提升临床疗效、缩短住院时间、降低疼痛程度并减少并发症的发生风险，有较高的临床应用价值。
[关键词]超声；经皮穿刺；切开引流；腹腔脓肿
[中图分类号] R656 [文献标识码] A [文章编号] 1674-4721(2018)10(a)-0042-03
[Abstract] Objective To compare the effect of ultrasound-guided abdominal abscess puncture and surgical incision for drainage in patients with abdominal abscess. Methods A total of 70 patients with abdominal abscess from October 2010 to January 2018 in Dapeng Xinqu Maternal and Child Health Care Hospital were selected. They were equally divided into surgical group and puncture group by a random number table methed. In the surgical group， surgical incision for drainage was used， while in the puncture group， ultrasound-guided abdominal abscess puncture was adopted. The clinical efficacy， perioperative indicators， and complications were compared between the two groups. Results After corresponding treatments in the two groups， the cure and improvement rate was 97.14%， which was higher than that in the surgical group accounting for 68.57% with a significant difference between the two groups (χ2=10.057， P<0.01). In the puncture group， hospital stay was shorter than that of the surgical group， and the pain level was milder than that of the surgical group (P<0.05). The total incidence of postoperative complications in the puncture group was 5.71% (2/35)， lower than that in the surgical group accounting for 28.57% (10/35) with statistical significance (P<0.05). Conclusion Ultrasound-guided abdominal abscess puncture can significantly improve efficacy， shorten hospital stay， relieve pain， and reduce the risk of complications， and has a higher clinical application value compared with surgical incision for drainage.
[Key words] Ultrasound； Percutaneous puncture； Surgical incision for drainage； Abdominal abscess
腹腔脓肿是普外科的常见疾病。脓肿是由腹腔内脏器、组织等相互包裹、隔离而形成。通常继发于腹腔手术、腹腔内感染等[1]，如未得到及时诊断并给予有效内科治疗或未行早期引流，可致患者多器官衰竭、脓毒症而出现严重后果甚至死亡。手术切开引流是该病的传统的外科治疗方式之一，虽然可直观的将脓肿切开引流，但因其创伤大、并发症多，饱受争议[2]。随着超声技术的发展，超声引导下经皮穿刺置管引流术(PCD)已逐渐取代传统手术切除，它在安全性、微创性、易操作性上更胜一筹，成为目前腹腔脓肿的最佳治疗方法。为研究比较传统腹腔脓肿切开引流术及超声引导下经皮穿刺置管术在临床疗效、围术期情况、并发症等方面的差异，而探讨超声引导下经皮穿刺置管术在腹腔脓肿治疗中的应用价值，本研究选择我院收治的70例腹腔膿肿患者临床资料进行，现报道如下。, 百拇医药(周超阳 胡雪飞)
[关键词]超声；经皮穿刺；切开引流；腹腔脓肿
[中图分类号] R656 [文献标识码] A [文章编号] 1674-4721(2018)10(a)-0042-03
[Abstract] Objective To compare the effect of ultrasound-guided abdominal abscess puncture and surgical incision for drainage in patients with abdominal abscess. Methods A total of 70 patients with abdominal abscess from October 2010 to January 2018 in Dapeng Xinqu Maternal and Child Health Care Hospital were selected. They were equally divided into surgical group and puncture group by a random number table methed. In the surgical group， surgical incision for drainage was used， while in the puncture group， ultrasound-guided abdominal abscess puncture was adopted. The clinical efficacy， perioperative indicators， and complications were compared between the two groups. Results After corresponding treatments in the two groups， the cure and improvement rate was 97.14%， which was higher than that in the surgical group accounting for 68.57% with a significant difference between the two groups (χ2=10.057， P<0.01). In the puncture group， hospital stay was shorter than that of the surgical group， and the pain level was milder than that of the surgical group (P<0.05). The total incidence of postoperative complications in the puncture group was 5.71% (2/35)， lower than that in the surgical group accounting for 28.57% (10/35) with statistical significance (P<0.05). Conclusion Ultrasound-guided abdominal abscess puncture can significantly improve efficacy， shorten hospital stay， relieve pain， and reduce the risk of complications， and has a higher clinical application value compared with surgical incision for drainage.
[Key words] Ultrasound； Percutaneous puncture； Surgical incision for drainage； Abdominal abscess
腹腔脓肿是普外科的常见疾病。脓肿是由腹腔内脏器、组织等相互包裹、隔离而形成。通常继发于腹腔手术、腹腔内感染等[1]，如未得到及时诊断并给予有效内科治疗或未行早期引流，可致患者多器官衰竭、脓毒症而出现严重后果甚至死亡。手术切开引流是该病的传统的外科治疗方式之一，虽然可直观的将脓肿切开引流，但因其创伤大、并发症多，饱受争议[2]。随着超声技术的发展，超声引导下经皮穿刺置管引流术(PCD)已逐渐取代传统手术切除，它在安全性、微创性、易操作性上更胜一筹，成为目前腹腔脓肿的最佳治疗方法。为研究比较传统腹腔脓肿切开引流术及超声引导下经皮穿刺置管术在临床疗效、围术期情况、并发症等方面的差异，而探讨超声引导下经皮穿刺置管术在腹腔脓肿治疗中的应用价值，本研究选择我院收治的70例腹腔膿肿患者临床资料进行，现报道如下。, 百拇医药(周超阳 胡雪飞)