Clinical analysis of ultrasound-guided percutaneous liver puncture and drainage for bacterial liver abscess
Objective To explore the clinical efficacy and security of ultrasound-guided percutaneous liver puncture and drainage for bacterial liver abscess.Methods A total of 62 patients with bacterial liver abscess were selected and divided into an experimental group(treated with ultrasound-guided percutaneous liver puncture and drainage,31 cases)and a control group(treated with laparoscopic incision and drainage,31 cases)by random number table method.The success rate of treatment,clinical efficacy,basic therapeutic indicators and the incidence of surgery-related complications were compared between the two groups.Results Both groups successfully completed treatment.The experimental group did not use other methods to locate or convert to surgery,while the control group did not convert to open abdominal abscess incision and drainage surgery.The success rate of treatment was 100.00%for both groups.The cure rate of the experimental group was 70.97%and the total effective rate of treatment was 100.00%,which had no statistical significance compared with 77.42%and 100.00%of the control group(P>0.05).The experimental group had shorter catheterization time of(45.36±6.25)min than(91.70±8.92)min in the control group,less treatment cost of(1.43±0.37)ten thousand yuan than(2.26±0.54)ten thousand yuan in the control group,and longer postoperative hospitalization time of(18.22±4.75)d than(13.36±4.49)d in the control group.The difference was statistically significant(P<0.05).There was no significant difference in postoperative extubation time between the two groups(P>0.05).The incidence of surgery-related complications in the experimental group was 16.13%,and difference was not statistically significant compared with 6.45%in the control group(P>0.05).Conclusion The clinical efficacy and safety of ultrasound-guided percutaneous liver puncture and drainage in the treatment of bacterial liver abscess is basically the same as that of laparoscopic surgical incision and drainage,but the former has more advantages in the operation time and treatment cost of catheterization,which can be prioritized according to the actual situation of the patients in the clinic,but it still cannot completely replace surgical treatment.
Bacterial liver abscessUltrasound-guidancePercutaneous liver puncture and drainageEfficacySecurity
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