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超声引导下经皮经肝胆囊穿刺引流手术置管引流单双腔引流管疗效对比

Efficacy comparison of single and double lumen drainage tube in ultrasound guided PTGBD catheter drainage
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摘要 目的:分析在超声引导下实施经皮经肝胆囊穿刺引流手术(PTGBD)置管时选择单腔与双腔引流管的效果差异。方法:选取2018年8月-2020年9月超声引导下PTGBD手术治疗的急性胆囊炎患者78例,随机分为两组,各39例。对照组给予单腔引流管治疗;试验组给予双腔引流管治疗。比较两组临床效果。结果:试验组置管后72 h内总引流量高于对照组,手术后住院时间短于对照组,差异有统计学意义(P<0.05);试验组置管后72 h内体温、胃肠功能及白细胞数量恢复正常率均高于对照组,且术后并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:在超声引导下实施PTGBD置管引流时选择双腔引流管可增加引流量,可缩短住院时间,促进患者机体恢复,减少术后并发症,提升治疗效果。 Objective:To analyze the effect of single lumen and double lumen drainage tube in percutaneous transhepatic gallbladder drainage(PTGBD)under ultrasound guidance.Methods:From August 2018 to September 2020,78 patients with acute cholecystitis treated by ultrasound-guided PTGBD were selected.They were randomly divided into two groups with 39 cases in each group.The control group was treated with single lumen drainage tube.The experimental group was treated with double lumen drainage tube.We compared the clinical effects of the two groups.Results:In the experimental group,the total drainage volume within 72 hours after catheterization was higher than that in the control group,and the hospital stay after operation was shorter than that in the control group,the difference was statistically significant(P<0.05).In the experimental group,the recovery rates of body temperature,gastrointestinal function and leukocyte count within 72 hours after catheterization were higher than those in the control group,and the incidence of postoperative complications was lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion:When implementing PTGBD catheter drainage under ultrasound guidance,the double cavity drainage tube can increase the drainage flow,shorten the hospital stay,promote the recovery of patients,reduce postoperative complications and improve the treatment effect.
作者 陈大卫 巫青 王凌 陈俊鹏 李琳琳 Chen Dawei;Wu Qing;Wang Ling;Chen Junpeng;Li Linlin(Department of Ultrasound,the Second People's Hospital of Foshan City,Guangdong Foshan 528000)
出处 《中国社区医师》 2021年第29期12-13,共2页 Chinese Community Doctors
关键词 疗效 引流管 双腔 经皮经肝胆囊穿刺引流术 超声 Curative effect Drainage tube Double cavity Percutaneous transhepatic gallbladder puncture and drainage Ultrasonic
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