CAJ | 학술논문

目的：对比分析超声引导与CT引导下经皮肝穿刺引流治疗肝脓肿优劣，为肝脓肿的穿刺引流治疗提供参考。方法经超声引导下经皮肝穿刺引流或置管治疗肝脓肿患者68例作为超声组，同期经C T引导下经皮肝穿刺引流治疗肝脓肿38例作为C T组。比较两组患者穿刺成功率、穿刺时间、治疗效果及并发症发生率。结果超声组1次穿刺成功率（81．7％）与C T组（82．6％）比较差异无统计学意义（χ2＝0．0162，P＝0．8986）。超声组操作完成时间（22．3±5．6）min较CT组（25．6±4．8）min显著缩短（t＝3．0574，P＜0．05）。超声组治愈率（91．2％）与CT 组（92．1％）比较差异无统计学意义（χ2＝0．0271，P＝0．8693）。两组并发症发生率（5．88％，8．57％）比较差异无统计学意义（χ2＝0．0101，P＝0．9201）。结论无论超声或C T引导下经皮肝脓肿穿刺引流均安全有效，相比而言，超声引导更加便利、经济。
목적：대비분석초성인도여CT인도하경피간천자인류치료간농종우렬，위간농종적천자인류치료제공삼고。방법경초성인도하경피간천자인류혹치관치료간농종환자68례작위초성조，동기경C T인도하경피간천자인류치료간농종38례작위C T조。비교량조환자천자성공솔、천자시간、치료효과급병발증발생솔。결과초성조1차천자성공솔（81．7％）여C T조（82．6％）비교차이무통계학의의（χ2＝0．0162，P＝0．8986）。초성조조작완성시간（22．3±5．6）min교CT조（25．6±4．8）min현저축단（t＝3．0574，P＜0．05）。초성조치유솔（91．2％）여CT 조（92．1％）비교차이무통계학의의（χ2＝0．0271，P＝0．8693）。량조병발증발생솔（5．88％，8．57％）비교차이무통계학의의（χ2＝0．0101，P＝0．9201）。결론무론초성혹C T인도하경피간농종천자인류균안전유효，상비이언，초성인도경가편리、경제。
Objective To explore differences of ultrasoundgraphy and CT guided percutaneous paracentesis for liver abscess and provide references for the paracentesis treating of liver abscess .Methods 68 patients with liver abscess arranged ultrasoundgraphy guided percutaneous paracentesis were regarded as ultrasound group ,and 38 patients accepted CT guided percutaneous paracentesis were considered as CT group .The succeed rate of paracentesis ,operation period ,treatment effectiveness ,complications of the 2 groups were compared .Results The succeed rate of paracentesis in ultrasound group (81 .7% ) was not different obviously to CT group(82 .6% ) (χ2 =0 .016 2 ,P=0 .898 6) .The operation period of ultrasound group(22 .3 ± 5 .6)min was shorten than CT group (25 .6 ± 4 .8)min ,t= 3 .057 4 ,P< 0 .05 .The heal rate of the 2 groups(91 .2% ,92 .1% ) was not different (χ2 = 0 .027 1 ,P=0 .869 3) .There was no different of the complications in the 2 groups(5 .88% ,8 .57% )(χ2 =0 .010 1 ,P=0 .920 1) .Conclusion Either ultrasoundgraphy or CT guided percutaneous paracentes is feasible and safe for liver abscess .Compared to CT ,the ultra-soundgraphy is more convenient and economic .