首页|超声引导经皮与腹腔镜肝穿刺置管引流术治疗细菌性肝脓肿效果对比分析

超声引导经皮与腹腔镜肝穿刺置管引流术治疗细菌性肝脓肿效果对比分析

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目的 比较超声引导经皮与腹腔镜肝穿刺置管引流术治疗细菌性肝脓肿(PLA)的效果。方法 回顾性分析 2022-03-2023-03郑州大学附属郑州中心医院肝胆胰微创外科收治的68 例PLA患者的临床资料,根据超声引导肝穿刺置管引流的方法分为经皮穿刺组和腔镜穿刺组,各34 例。比较2 组患者的基线资料、围术期指标,统计并发症发生率,评价治疗效果。结果 2 组患者的体温恢复时间差异无统计学意义(P>0。05)。腔镜穿刺组患者的白细胞计数恢复正常时间、拔管时间、住院时间均短于经皮穿刺组,住院费用及切口感染等并发症发生率均高于经皮穿刺组,差异均有统计学意义(P<0。05)。2 组均有良好的临床疗效,差异无统计学意义(P>0。05)。结论 对PLA患者采取超声引导经皮与腹腔镜肝穿刺置管引流术均有良好的疗效。其中腹腔镜肝穿刺置管引流术具有患者术后恢复快的优势,经皮肝穿刺置管引流术则在并发症和住院费用方面优于腹腔镜肝穿刺置管引流术。
Curative effect of percutaneous liver puncture and laparoscopic surgery on bacterial liver abscess
Objective To compare the clinical efficacy of ultrasound-guided percutaneous liver puncture and laparoscopic drainage in the treatment of bacterial liver abscess(PLA)patients.Methods A retrospective analysis was conducted on 68 patients with bacterial liver abscess who received minimally invasive surgery at Zhengzhou Central Hospital Affiliated to Zhengzhou University from March 2022 to March 2023.According to the order of admission,the patients were divided into ultrasound guided percutaneous liver puncture group(group A,34 ca-ses)and laparoscopic puncture drainage group(group B,34 cases).The patients were followed up and the treatment effects were compared.Results There was no statistically significant difference in clinical efficacy between the two groups of patients(P>0.05).There was a statisti-cally significant difference in the incidence of complications between the two groups of patients(P<0.05).The difference in temperature re-covery time,white blood cell recovery time,extubation time,hospitalization time,and hospitalization cost between the two groups of patients was statistically significant(P<0.05).Conclusion Ultrasound guided percutaneous liver puncture and laparoscopic puncture in patients with bacterial liver abscess.Drainage has advantages such as minimally invasive,minimal complications,and fast postoperative recovery.Ultrasound guided percutaneous liver puncture is more convenient and applicable.

Pyogenic liver abscessLaparoscopic surgeryPercutaneous liver puncture catheterizationCurative Effect

马东明、顾小晖

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郑州大学附属郑州中心医院肝胆胰微创外科 郑州 450007

郑州大学第二附属医院普通外科 郑州 450014

细菌性肝脓肿 腹腔镜手术 经皮肝穿刺置管 疗效

2024

河南外科学杂志
郑州大学

河南外科学杂志

影响因子:0.709
ISSN:1007-8991
年,卷(期):2024.30(2)
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