超聲介入沖洗對腹部膿腫的療效分析

[摘要] 目的 探討超聲介入沖洗治療腹部膿腫的臨床療效。 方法 選取筆者所在醫(yī)院2009年3月～2011年6月收治的60例腹部膿腫患者，隨機分成實驗組與對照組，每組30例。對照組患者采用開腹手術引流治療，實驗組患者采用超聲介入沖洗治療。 結果 對照組治愈19例，好轉6例，未愈5例，總有效率為83.3%；實驗組治愈24例，好轉4例，未愈2例，總有效率為93.3%，對照組出現(xiàn)9例術后并發(fā)癥，實驗組出現(xiàn)2例。兩組比較差異有統(tǒng)計學意義（P<0.05）。對照組術后發(fā)熱（4.3±0.5）d、抗感染天數(shù)（7.1±2.4）d和住院時間（12.4±4.8）d，實驗組術后發(fā)熱（2.3±0.2）d、抗感染天數(shù)（5.1±1.8）d和住院時間（6.3±3.3）d，兩組比較差異有統(tǒng)計學意義（P<0.05）。 結論 超聲介入沖洗治療腹部膿腫療效較好，可以加快患者癥狀消失，減少住院時間，值得在臨床上推廣。

[關鍵詞] 超聲；介入；腹部膿腫

[中圖分類號] R632.5 [文獻標識碼] B [文章編號] 2095-0616（2012）22-103-02

Efficacy analysis of ultrasound interventional irrigation on abdominal abscess

HAO Lihong

Department of Ultrasonography， No.2 People's Hospital of Wuxi City， Wuxi 214000，China

[Abstract] Objective To discuss and analyze the clinical effect of ultrasound interventional irrigation on abdominal abscess. Methods 60 cases of abdominal abscess patients who were admitted in the author's hospital from Mar.2009 to Jun.2011 were selected to divide into experimental group and control group randomly， both group were 30 cases. The control group was treated with open surgery to take a drainage， and the experimental group was treated with ultrasound interventional irrigation. Results In the control group， 24 cases were recovered， 4 cases were improved and 2 cases were unhealed， the total effective rate was 93.3%.In the experimental group， 19 cases were recovered， 6 cases were improved and 5 cases were unhealed， the total effective rate was 83.3%. 9 cases of postoperative complications in the control group，2 cases in the experimental group，there was a significant difference（P<0.05）.The postoperative fever， anti-infection time and length of stay of control group were （4.3±0.5）d， （7.1±2.4）d and （12.4±4.8）d respectively， and the experimental group were （2.3±0.2）d， （5.1±1.8）d and （6.3±3.3）d， all of the indicators have a significant difference between two groups（P<0.05）. Conclusion Ultrasound interventional irrigation has a good effect on the abdominal abscess， and can speed up symptoms disappear， decrease the length of stay， this method has value to promote in clinical therapy.

[Key words] Ultrasound； Intervention； Abdominal Abscess

腹部膿腫是一種常見的外科疾病，常規(guī)使用抗生素治療往往效果不佳，死亡率高達80%[1]，過去多采用開腹手術引流，近年來隨著超聲介入技術的不斷發(fā)展，超聲介入沖洗治療腹部膿腫已經被越來越多的醫(yī)院所采用。筆者所在醫(yī)院2009年3月～2011年6月共收治60例腹部膿腫患者，分別采用開腹手術引流和超聲介入沖洗治療，現(xiàn)報道如下。

1 資料與方法

1.1 一般資料

選取筆者所在醫(yī)院2009年3月～2011年6月收治的60例腹部膿腫患者，隨機分成實驗組與對照組，每組30例。對照組男14例，女16例，年齡20～75歲，平均（38.6±16.3）歲；實驗組男19例，女11例，年齡22～76歲，平均（39.1±15.9）歲。其中，肝膿腫17例，腎膿腫9例，膈下膿腫5例（均為外科術后并發(fā)癥），闌尾膿腫16例，盆腔膿腫9例，腹膜后膿腫4例。……