穿刺引流与手术治疗细菌性肝脓肿疗效比较

发布时间：2018-06-04 17:33

本文选题：肝脓肿 + 化脓性　；参考：《新疆医科大学》2015年硕士论文

【摘要】：目的：对比分析穿刺引流与手术两种不同方式治疗细菌性肝脓肿的临床疗效。方法：采用统计描述的方法回顾性分析2012年1月至2013年12月新疆医科大学第一附属医院收治的81例细菌性肝脓肿临床资料。按治疗方式分为穿刺引流组(48例)和手术组(33例),比较两组患者的基本情况、相关实验室检查、有效率、并发症发生率、死亡率、术后体温恢复正常时间及住院时间。计量资料采用t检验,计数资料采用χ2检验。结果：81例患者中肺炎克雷伯杆菌在血培养阳性中占45.45%,在脓液培养阳性中占62.50%。有效率和死亡率比较差异无统计学意义(χ2=0.91,2.05,P0.05)。穿刺引流组患者住院时间(14±5)d显著低于手术组的(17±5)d,两组相比差异有统计学意义(t=-3.20,P0.05)。穿刺引流组患者术后体温恢复正常时间(5.1±1.6)d低于手术组的(6.0±1.1)d,两组相比差异有统计学意义(t=-2.85,P0.05)。穿刺引流组6例患者术后出现并发症,少于手术组的10例(χ2=3.91,P0.05)。结论：超声引导下经皮肝穿刺引流治疗细菌性肝脓肿具有操作简单、疗效确切、并发症发生率低、术后恢复快等优点,临床上值得广泛推广。
[Abstract]:Objective: to compare and analyze the clinical effect of puncture drainage and operation on bacterial liver abscess. Methods: the clinical data of 81 cases of bacterial liver abscess treated in the first affiliated Hospital of Xinjiang Medical University from January 2012 to December 2013 were analyzed retrospectively by statistical description. The patients were divided into puncture and drainage group (n = 48) and operation group (n = 33) according to the treatment method. The basic condition, related laboratory examination, effective rate, complication rate, mortality rate, recovery time of body temperature and hospitalization time were compared between the two groups. T test was used for measuring data and 蠂 2 test was used for counting data. Results Klebsiella pneumoniae accounted for 45.45 in blood culture and 62.50 in pus culture. There was no significant difference between effective rate and mortality rate (蠂 ~ 2 + 0.91) (P < 0.05). The hospitalization time of the patients in the puncture drainage group was significantly lower than that in the operation group (14 卤5 days), and the difference between the two groups was statistically significant. The recovery time of body temperature in the puncture drainage group was less than that in the operation group (5.1 卤1.6 days), which was significantly lower than that in the operation group (6.0 卤1.1 days). The difference between the two groups was statistically significant (P 0.05). Complications occurred in 6 patients in the puncture and drainage group, less than in 10 patients in the operation group (蠂 2, 3.91, P 0.05). Conclusion: Ultrasound-guided percutaneous transhepatic drainage for bacterial liver abscess has the advantages of simple operation, accurate curative effect, low incidence of complications and quick recovery after operation. It is worth popularizing in clinic.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R657.3

【参考文献】