全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...
-  2017 

超声造影在腹腔脓肿穿刺引流中的应用价值 Application Value of Contrast-Enhanced Ultrasound in the Puncture and Drainage of Abdominal Abscesses

Keywords: 腹腔脓肿,超声造影,穿刺,引流

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的:探讨超声造影在腹腔脓肿穿刺引流中的应用价值。方法:选取2012年6月-2016年7月于我院就诊的213例腹腔脓肿患者,其中114例在超声造影引导下穿刺引流为造影组,99例在常规超声引导下穿刺引流为对照组。比较两种检查方法对脓腔有无、数量以及大小的诊断准确率,统计两组中脓肿的穿刺治疗方式并分析两组脓肿穿刺治疗成功率、并发症发生率的差异性。结果:213例腹腔脓肿中,膈下脓肿、盆腔脓肿和肠间脓肿分别为31例、84例和98例。超声造影对脓腔的有无以及脓腔数量、大小的诊断准确率均高达100%,明显高于常规超声(P<0.05)。造影组穿刺治疗成功率(94.7%)明显高于对照组(85.8%),且并发症发生率(6.1%)也低于对照组(15.2%),差异均具有统计学意义(P<0.05)。结论:超声造影能准确判断腹腔脓肿中脓腔的形成以及数量、大小,并能提高脓肿穿刺治疗成功率、减少并发症发生率,具有较高的临床应用价值

References

[1]  陈孝平,汪建平.外科学[M].第8版.北京:人民卫生出版社,2013:348-350.Chen XP,Wang JP.Surgery[M].The 8th edition.Beijing:People’s Medical Publishing House,2013:348-350.
[2]  姚利琴,冯文明,陆文明,等.超声引导经皮穿刺置管引流治疗肝脓肿41例临床分析[J].肝胆胰外科杂志,2011,23(4):319-320.Yao LQ,Feng WM,Lu WM,et al.The clinical analysis 41cases of liver abscess in percutaneous puncture catheter drainage treatment guided by ultrasound[J].Journal of Hepatopancreatobiliary Surgery,2011,23(4):319-320.
[3]  Guo SG,Jian AR,Song L,et al.Comparative evaluation of sump drainage by trocar puncture,percutaneous catheter drainage versus operative drainage in the treatment of Intra-abdominal abscesses:a retrospective controlled study[J].BMC Surgery,2015,15(5):49-56.
[4]  张涛,潘文,金小桦,等.超声引导下穿刺引流治疗腹腔脓肿28例临床应用[J].交通医学,2015,29(2):150-151.Zhang T,Pan W,Jin XH,et al.The clinical application of 28cases of abdominal abscess in drainage treatment guided by ultrasound[J].Med J of Communications,2015,29(2):150-151.
[5]  张虎,曹登科,张先林,等.彩超引导下经皮穿刺置管冲洗引流治疗腹腔脓肿(附124例报道)[J].中国普外基础与临床杂志,2014,21(2):234-235.Zhang H,Cao DK,Zhang XL,et al.Clinical efficacy of ultrasound guided percutaneous catheter drainage in treatment for abdominal abscesses(report of 124cases)[J].Chin J Bases Clin General Surg,2014,21(2):234-235.
[6]  Kunze G,Staritz M,Kohler M.Contrast-enhanced ultrasound in different stages of pyogenic liver abscess[J].Ultrasound Med Biol,2015,41(4):952-959.
[7]  潘桔红,陈文卫,李蓬,等.细菌性肝脓肿不同临床病理分期的超声造影表现[J].中华医学超声杂志:电子版,2014,11(12):969-973.Pan JH,Chen WW,Li P,et al.Contrast-enhanced ultrasonographic findings of bacterial liverabscess in different stages[J].Chin J Med Ultrasound(Electronic Edition),2014,11(12):969-973.
[8]  侯秀芝.超声引导下穿刺治疗肝脓肿89例回顾分析[J].医学理论与实践,2011,24(18):2 210-2 211.Hou XZ.The retrospective analysis of 89cases of liver abscess in puncture treatment guided by ultrasound[J].J Med Theor&Prac,2011,24(18):2 210-2 211.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133