摘要
目的 :比较超声引导下针刺抽吸术与置管引流术在肝脓肿治疗中的优劣。方法 :将 30例肝脓肿患者随机分组 ,针刺抽吸组 15例 ,置管引流组 15例 ,针刺抽吸组最多行两次抽吸 ,第二次抽吸失败后改为量管引流 ,此类患者不包括在置管引流组。观察比较两组患者治疗结果、住院天数及并发症等 ,每 3天行超声检查。结果 :针刺抽吸组有效率6 6 6 7% ,置管引流组有效率 10 0 % ,有效治愈患者中 ,两种方法临床进展 (局部症状及体征缓解、体温下降、白细胞数正常 )所需平均时间及住院平均天数相似 (P >0 0 5 ) ,尽管针刺抽吸组脓腔直径由原来减小 5 0 %所需时间明显多于置管引流组 (13天 /6天 ) (P 0 0 5 ) ,但两组患者脓腔完全或近乎完全消失所需平均时间相似 (P >0 0 5 ) ,两组患者都未见主要并发症。结论 :从脓腔缩小 5 0 %所需时间及有效率来说 ,置管引流较针刺抽吸更有效。
Objective:To determine and compare the efficacy of sonographically guided percutaneous needle aspiration (NA) and percutaneous catheter drainage (CD) in the treatment of liver abscesses.Methods:At random, 30 patients with liver abscesses underwent either NA (n=15) or CD (n=15) along with appropriate antimicrobial therapy,aspiration was attempted only once in each patient not responding to the first aspiration. Patients were followed up to assess the outcome of the percutaneous treatment, length of hospital stay and development of any complications, sonography was performed every third day.Results:The successful rates of NA and CD were 66.67%,100% respectively. Among the successful treated patients, the average time for clinical improvement and the mean hospital stay were similar in the two treatment groups. Although the average time needed for a 50% reduction in the size of the abscess cavity was significantly (P<0.05) greater in the aspiration group than in the catheter group (13days versus 6days), the average time taken for total resolution of abscess was the same in both groups. No major complications were encountered.Conclusion:CD is more effective than NA in the treatment of liver abscesses.
出处
《医学影像学杂志》
2004年第9期732-734,共3页
Journal of Medical Imaging
关键词
肝脓肿
超声检查
针刺抽吸术
置管引流术
Liver abscesses
Sonography
Percutaneous needle aspiration
Percutaneous catheter drainage
