CAJ | 학술논문

目的探讨超声或CT引导下经皮穿刺抽脓或置管引流术(CT-PDLA)、腹腔镜下肝脓肿引流术(LD-LA)和开腹肝脓肿切开引流术(IDLA)的临床效果.方法将103例细菌性肝脓肿患者随机分为三组,A组35例行CT-PDLA,B组34例行LD-LA,C组34例行IDLA,比较三组患者的临床疗效.结果 A组总有效率为100％,B组为97.06％,C组为82.35％.结论在同等条件下,确切的适应证,CT-PDLA治疗BLA具有可靠、简便、经济、创伤小、并发症少、治愈率高等优点,可作为细菌性肝脓肿的首选治疗方法.
목적 탐토초성혹CT인도하경피천자추농혹치관인류술(CT-PDLA)、복강경하간농종인류술(LD-LA)화개복간농종절개인류술(IDLA)적림상효과.방법 장103례세균성간농종환자수궤분위삼조,A조35례행CT-PDLA,B조34례행LD-LA,C조34례행IDLA,비교삼조환자적림상료효.결과 A조총유효솔위100％,B조위97.06％,C조위82.35％.결론 재동등조건하,학절적괄응증,CT-PDLA치료BLA구유가고、간편、경제、창상소、병발증소、치유솔고등우점,가작위세균성간농종적수선치료방법.
Objective To discuss the clinical effect of the ultrasound or CT-guided percutaneous pus or catheter drainage (CT-PDLA),laparoscopic liver abscess drainage (LD-LA) and abdominal liver abscess incision and drainage (IDLA).Methods 103 cases of pyogenic liver abscess were randomly divided into three groups,which were CT-PDLA group (Group A,35 cases),LD-LA group (Group B,n =34 cases) and IDLA group (Group C,34 cases),and the clinical effects of three groups were compared.Results All patients were cured,the total efficiency of Group A was 100％,Group B for 97.06％,Group C for 82.35％,there was statistical significant difference between them (P＜0.05),but there was no significant difference between Group A and Group B(P＞0.05),there were no significant difference in the biochemical markers of three groups(P＞0.05),for the after conventional indicators,Group A was better than that Group B and Group C (P＜0.05).Conclusion Under the same conditions,exact indications,the CT-PDLA treatment BLA is reliable,simple,economical,having advantages of small trauma,low complications and high cure rate,which can be the preferred treatment choice for bacterial liver abscess.