超声与CT引导下经皮肝穿刺引流治疗肝脓肿的对比分析

发布时间：2018-03-04 13:39

本文选题：超声　切入点：CT　出处：《重庆医学》2014年22期 　论文类型：期刊论文

【摘要】：目的对比分析超声引导与CT引导下经皮肝穿刺引流治疗肝脓肿优劣,为肝脓肿的穿刺引流治疗提供参考。方法经超声引导下经皮肝穿刺引流或置管治疗肝脓肿患者68例作为超声组,同期经CT引导下经皮肝穿刺引流治疗肝脓肿38例作为CT组。比较两组患者穿刺成功率、穿刺时间、治疗效果及并发症发生率。结果超声组1次穿刺成功率(81.7%)与CT组(82.6%)比较差异无统计学意义(χ2=0.016 2,P=0.898 6)。超声组操作完成时间(22.3±5.6)min较CT组(25.6±4.8)min显著缩短(t=3.057 4,P0.05)。超声组治愈率(91.2%)与CT组(92.1%)比较差异无统计学意义(χ2=0.027 1,P=0.869 3)。两组并发症发生率(5.88%,8.57%)比较差异无统计学意义(χ2=0.010 1,P=0.920 1)。结论无论超声或CT引导下经皮肝脓肿穿刺引流均安全有效,相比而言,超声引导更加便利、经济。
[Abstract]:Objective to compare the advantages and disadvantages of ultrasonic guidance and CT guided percutaneous liver puncture drainage in the treatment of liver abscess. Methods 68 patients with liver abscess were treated with percutaneous transhepatic drainage or catheter placement under the guidance of ultrasound. At the same time, 38 cases of liver abscess treated by percutaneous hepatic drainage guided by CT were used as CT group. Results there was no significant difference between the ultrasound group and CT group in the success rate of single puncture (81.7%) and CT group (82.6%) (蠂 2 0. 016 2 + P 0. 898 6). The complete operation time of ultrasound group was 22. 3 卤5. 6 minutes, significantly shorter than that of CT group (25. 6 卤4. 8 min). The cure rate of ultrasound group was 91. 2%. There was no significant difference between the CT group and the control group (蠂 2 0. 027 1 and P 0. 869 3). There was no significant difference in the incidence of complications between the two groups (蠂 2 0. 010 1 P 0. 920 1). Conclusion the percutaneous liver abscess drainage under the guidance of ultrasound or CT is safe and effective, and there is no significant difference in the incidence of complications between the two groups (蠂 2, 0. 010 1, P 0. 921, P < 0. 921). In contrast, ultrasound guidance is more convenient and economical.
【作者单位】：海南医学院附属医院超声科;
【分类号】：R575.4;R445

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