[1]张梅玲,曹传武,韩世龙,等.肝脓肿经皮穿刺引流术的疗效及影响因素分析[J].介入放射学杂志,2017,(05):458-461.
 ZHANG Meiling,CAO Chuanwu,HAN Shilong,et al.Percutaneous puncturing drainage for the treatment of liver abscess: analysis of its curative effect and influence factors[J].journal interventional radiology,2017,(05):458-461.
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肝脓肿经皮穿刺引流术的疗效及影响因素分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2017年05期
页码:
458-461
栏目:
临床研究
出版日期:
2017-05-25

文章信息/Info

Title:
Percutaneous puncturing drainage for the treatment of liver abscess: analysis of its curative effect and influence factors
作者:
张梅玲 曹传武 韩世龙 谢晓芸 李茂全
Author(s):
ZHANG Meiling CAO Chuanwu HAN Shilong XIE Xiaoyun LI Maoquan
Shanghai Clinical College of Anhui Medical University, Shanghai 200072, China
关键词:
【关键词】 肝脓肿 穿刺引流 疗效 影响因素
文献标志码:
A
摘要:
【摘要】 目的 观察经皮穿刺引流对肝脓肿的治疗效果,分析影响疗效的因素,探讨降低病死率、并发症率,缩短住院时间的方法。方法 收集2011年1月至2016年1月收治的121例肝脓肿患者临床资料。对确诊肝脓肿患者,充分抗感染治疗的同时,CT评估病灶液化情况,在CT引导下行经皮肝穿刺引流,分析治疗后的病死率、并发症率、住院时间及其影响因素。结果 共有121例肝脓肿患者纳入研究。2例患者穿刺引流后死亡,病死率为1.6%,影响患者死亡率的因素为高龄、基础疾病,脓肿直径及实性成分; 2例患者穿刺引流后出现肝周脓肿、腹壁脓肿,并发症率为1.6%,对并发症积极处理后达到临床治愈,影响并发症率的因素主要为手术操作欠妥;119例患者均达到临床治愈,治愈率为98.3%,平均住院时间为(15.1±6.0) d。影响住院时间的危险因素为:脓肿个数X6(r=0.232,P=0.021),脓肿大小X7(r=0.26,P=0.005),白细胞计数X8(r=0.238,P=0.009)。进一步分析显示影响因素与住院时间相关性的多元线性回归方程有统计学意义(P<0.05),多元回归方程为:Y=-3.438+3.055X6+0.527X7+0.297X8,F=5.819,R2=0.416。性别、年龄、糖尿病、致病原菌种类、脓肿位置对住院时间的影响无统计学差异(P>0.05)。结论 经皮穿刺肝脓肿引流术是治疗肝脓肿的有效方法,具有病死率低,并发症率低、住院时间短的特点。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2016-09-24)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2017-05-15