本文選題：肝膿腫 + 化膿性　； 參考：《新疆醫(yī)科大學(xué)》2015年碩士論文

【摘要】：目的：對(duì)比分析穿刺引流與手術(shù)兩種不同方式治療細(xì)菌性肝膿腫的臨床療效。方法：采用統(tǒng)計(jì)描述的方法回顧性分析2012年1月至2013年12月新疆醫(yī)科大學(xué)第一附屬醫(yī)院收治的81例細(xì)菌性肝膿腫臨床資料。按治療方式分為穿刺引流組(48例)和手術(shù)組(33例),比較兩組患者的基本情況、相關(guān)實(shí)驗(yàn)室檢查、有效率、并發(fā)癥發(fā)生率、死亡率、術(shù)后體溫恢復(fù)正常時(shí)間及住院時(shí)間。計(jì)量資料采用t檢驗(yàn),計(jì)數(shù)資料采用χ2檢驗(yàn)。結(jié)果：81例患者中肺炎克雷伯桿菌在血培養(yǎng)陽性中占45.45%,在膿液培養(yǎng)陽性中占62.50%。有效率和死亡率比較差異無統(tǒng)計(jì)學(xué)意義(χ2=0.91,2.05,P0.05)。穿刺引流組患者住院時(shí)間(14±5)d顯著低于手術(shù)組的(17±5)d,兩組相比差異有統(tǒng)計(jì)學(xué)意義(t=-3.20,P0.05)。穿刺引流組患者術(shù)后體溫恢復(fù)正常時(shí)間(5.1±1.6)d低于手術(shù)組的(6.0±1.1)d,兩組相比差異有統(tǒng)計(jì)學(xué)意義(t=-2.85,P0.05)。穿刺引流組6例患者術(shù)后出現(xiàn)并發(fā)癥,少于手術(shù)組的10例(χ2=3.91,P0.05)。結(jié)論：超聲引導(dǎo)下經(jīng)皮肝穿刺引流治療細(xì)菌性肝膿腫具有操作簡(jiǎn)單、療效確切、并發(fā)癥發(fā)生率低、術(shù)后恢復(fù)快等優(yōu)點(diǎn),臨床上值得廣泛推廣。
[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 鹵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 鹵1.6 days), which was significantly lower than that in the operation group (6.0 鹵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.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R657.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 張成武,鄒壽椿,趙大建,張靜霞;細(xì)菌性肝膿腫的放射介入和雙介入治療[J];肝膽胰外科雜志;2001年03期

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本文編號(hào)：1978218