摘要
目的：与常规药物治疗比较,评价超声引导经皮盆腔穿刺干预盆腔脓肿的临床疗效.方法：采用随机对照的研究方法,采集2010年1月～2012年12月经我院收治的盆腔脓肿患者100例.试验组患者接受B型超声下采用穿刺针经过腹部到脓腔,进行抽脓.对照组采用抗生素药物干预.结局指标为两组的各项症状和体征,以及临床治疗整体疗效.结果：对照组住院天数为（15.2±2.1）d,试验组为（12.1±2.2）d;对照组腹痛缓解天数（5.6±1.3）d,试验组为（3.2±0.8）d;对照组体温恢复天数（5.9±1.6）d,试验组为（4.0±1.3）d;对照组脓肿吸收天数（17.3±3.2）d,试验组为（14.3±2.3）d.对照组白细胞恢复正常的天数（6.3±1.2）d,试验组为（4.4±1.2）d.试验组治愈48例,达到96％;对照组治愈41例,治愈率有82％.上述指标均显示试验组优于对照组（P＜0.05）.结论：超声介入经皮盆腔穿刺具有良好的治疗优势,不仅能缩短住院时间,还能消除腹痛、促进脓肿吸收、恢复WBC正常水平.
Objective：To compared with conventional drug treatment, evaluation of ultrasonography guided percutaneous abdominal puncture the clinical curative effect of intervention of appendix abscess. Methods： using randomized controlled methods, acquisition in November 2010, 2010 to December 100 cases of appendix abscess patients of our hospital. Experimental group patients received under b - type ultrasound USES the needle through the abdomen to the pus cavity, pumping pus. The control group used antibiotic drug intervention. Outcome indicators for the two groups in all kinds of signs and symptoms, overall curative effect and clinical treatment. Hospitalization days was 15.2 ＋ / - 2.1. Results：Control group, experimental group was 12.1 ＋ / - 2.2; Control group abdominal pain relief 5.6 ＋ / - 1.3 days, experimental group was 3.2 ＋ / - 0.8 ; The control body temperature recovery 5.9 ＋ / - 1.6 days, experimental group was 4.0 ＋ / - 1.3 ; Control abscess absorb 17.3 ＋ / - 3.2 days, test group was 14.3 ＋ / - 2.3. In the control group of white blood cells back to normal 6.3 ＋ / - 1.2 days, the experimental group was 4.4 ＋ / - 1.2. Patients cured 48 cases, 96 % ; Control group 41 cases cured, the cure rate 82 %. The above indexes shows that experimental group is better than that of control group（P 〈 0.05）. Conclusion： Ultrasound in percutaneous abdominal puncture has good curative effect advantage, can not only shorten the length of hospital stay, also can eliminate abdominal pain, promote absorption ab- scess, restore the WBC normal levels.
出处
《内蒙古医学杂志》
2013年第12期1445-1447,共3页
Inner Mongolia Medical Journal
关键词
超声介入
外科穿刺
盆腔脓肿
临床疗效
Ultrasound intervention
Surgical biopsy
The pelvic abscess
Clinical curative effect
