CAJ | 학술논문

探讨置入双单猪尾导管引流对多房性肝脓肿治疗的可行性和临床应用价值。共收治多房性肝脓肿21例，首次经置入单猪尾导管引流治疗15例中，选择单纯置入单猪尾导管引流治疗10例，并选择置入双单猪尾导管引流治疗6例。比较两组患者围手术期疗效和术后并发症的观察指标。围手术期疗效的观察中，发现双单猪尾导管组患者高热、寒战持续时间短，腹痛、腹胀明显缓解，拔管时间和平均住院时间明显缩短，但延长其手术时间，差异有统计学意义（P＜0．05）。术后并发症的观察中，发现单纯单猪尾导管组患者常伴有凝血机制障碍和二重感染，差异有统计学意义（P＜0．05）。置入双单猪尾导管引流对多房性肝脓肿治疗的操作技术为安全、可行的方案，也是治疗多房性肝脓肿的理想方法。
탐토치입쌍단저미도관인류대다방성간농종치료적가행성화림상응용개치。공수치다방성간농종21례，수차경치입단저미도관인류치료15례중，선택단순치입단저미도관인류치료10례，병선택치입쌍단저미도관인류치료6례。비교량조환자위수술기료효화술후병발증적관찰지표。위수술기료효적관찰중，발현쌍단저미도관조환자고열、한전지속시간단，복통、복창명현완해，발관시간화평균주원시간명현축단，단연장기수술시간，차이유통계학의의（P＜0．05）。술후병발증적관찰중，발현단순단저미도관조환자상반유응혈궤제장애화이중감염，차이유통계학의의（P＜0．05）。치입쌍단저미도관인류대다방성간농종치료적조작기술위안전、가행적방안，야시치료다방성간농종적이상방법。
The study was to evaluate the technical feasibility and the clinical practice value of double single‐pigtail catheter insertions and drainage in the treatment for multilocular hepatic abscess .Among the 21 patients who underwent pigtail catheter insertion and drainage in the treatment for multilocular hepatic abscess ,10 were treated only by single‐pigtail catheter insertion (SPCI) and 6 treated double single‐pigtail catheter insertions (DPCI) .The short‐term perioperative outcomes and postoperative complications of these two groups were compared .The DPCI group of perioperative outcomes had a significantly shorter hyperthermia and frissonner time ,less abdominal pain and distention time ,shorter drainage removal time ,and diminuer hospital stay ( P< 0 .05 )) , but showed significantly longer operating time ( P< 0 .05 ) . Postoperative complications , significant intergroup differences were found for disturbances of blood coagulation and surinfection (P<0 .05) .The DPCI for multilocular hepatic abscess is technically safe and feasible compared with SPCI . The DPCI is the good ideal method to treatment of the multilocular hepatic abscess .