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目的:分析电子计算机断层扫描(CT)引导下对肝脓肿行经皮穿刺引流的效果。方法:对佛山顺德中医院2009年1月至2016年1月30例肝脓肿患者在CT引导下列经皮穿刺引流,回顾性分析CT引导下列经皮穿刺引流的疗效。结果:30例均穿刺引流成功,其中26例放置引流管法引流成功,4例行分次抽取引流后成功,总成功率100%。对30例患者行2个月的随访,28例病灶消失,2例转外科手术。与治疗前对比,治疗1周后患者白细胞(12.5±1.8)×10~9·L~(-1)、中性粒细胞(0.7±0.1)×10~9·L~(-1)和体温(37.3±0.5)°C明显降低,差异具有统计学意义(P<0.05)。结论:经皮穿刺引流具有创伤小、安全性高、操作简单的特点。
Objective: To analyze the effect of percutaneous drainage on hepatic abscess under the guidance of computed tomography (CT). Methods: Thirty patients with liver abscess from January 2009 to January 2016 in Foshan Shunde Chinese Medicine Hospital underwent percutaneous puncture drainage guided by CT, and retrospectively analyzed the curative effect of CT guided percutaneous drainage. Results: All the 30 cases were successfully punctured and punctured. Among them, 26 cases were successfully treated with drainage tube drainage, 4 cases were successful with drainage and drainage, and the total success rate was 100%. Thirty patients were followed up for 2 months, 28 cases disappeared, and 2 cases were surgically treated. Compared with those before treatment, the levels of leukocyte (12.5 ± 1.8) × 10 ~ 9 · L -1, neutrophil (0.7 ± 0.1) × 10 ~ 9 · L -1 and body temperature (37.3 ± 0.5) ° C, the difference was statistically significant (P <0.05). Conclusion: Percutaneous puncture and drainage have the advantages of less trauma, higher safety and simple operation.