安徽医药
安徽醫藥
안휘의약
ANHUI MEDICAL AND PHARMACEUTICAL JOURNAL
2015年
7期
1282-1285
,共4页
阑尾周围脓肿%小儿%超声引导%经皮腹腔穿刺引流
闌尾週圍膿腫%小兒%超聲引導%經皮腹腔穿刺引流
란미주위농종%소인%초성인도%경피복강천자인류
periappendiceal abscess%child%ultrasonic guidance%percutaneous abdominal puncture drainage
目的：研究超声引导下经皮腹腔引流治疗小儿阑尾周围脓肿的临床应用价值。方法70例诊断为阑尾周围脓肿的小儿患者随机分为对照组与观察组，每组均为35例。对照组采用静脉滴注抗生素等抗炎补液与对症治疗；观察组在抗炎补液及其支持治疗的基础上行超声引导下经皮腹腔穿刺留置引流管，连续治疗3周，观察并记录治愈率与临床伴随症状消失时间、实验室检查指标恢复正常时间。结果观察组第2周治愈率为40．00％（14／35）、有效率88．57％（31／35），第3周治愈率77．14％（27／35）、有效率94．29％（33／35），与均高于对照组（P ＜0．05），且观察组在临床伴随症状恢复时间与实验室检查结果恢复时间均明显短于对照组（P ＜0．05），且治疗期间观察组无中转手术治疗病例，而对照组有4例中转行手术治疗。结论液化较完全、脓肿内分隔较少且脓肿局限的小儿阑尾周围脓肿患者，经皮腹腔穿刺引流术可显著提高治愈率、缩短治疗时间，是一种安全可靠且创伤较小的治疗方法。
目的：研究超聲引導下經皮腹腔引流治療小兒闌尾週圍膿腫的臨床應用價值。方法70例診斷為闌尾週圍膿腫的小兒患者隨機分為對照組與觀察組，每組均為35例。對照組採用靜脈滴註抗生素等抗炎補液與對癥治療；觀察組在抗炎補液及其支持治療的基礎上行超聲引導下經皮腹腔穿刺留置引流管，連續治療3週，觀察併記錄治愈率與臨床伴隨癥狀消失時間、實驗室檢查指標恢複正常時間。結果觀察組第2週治愈率為40．00％（14／35）、有效率88．57％（31／35），第3週治愈率77．14％（27／35）、有效率94．29％（33／35），與均高于對照組（P ＜0．05），且觀察組在臨床伴隨癥狀恢複時間與實驗室檢查結果恢複時間均明顯短于對照組（P ＜0．05），且治療期間觀察組無中轉手術治療病例，而對照組有4例中轉行手術治療。結論液化較完全、膿腫內分隔較少且膿腫跼限的小兒闌尾週圍膿腫患者，經皮腹腔穿刺引流術可顯著提高治愈率、縮短治療時間，是一種安全可靠且創傷較小的治療方法。
목적：연구초성인도하경피복강인류치료소인란미주위농종적림상응용개치。방법70례진단위란미주위농종적소인환자수궤분위대조조여관찰조，매조균위35례。대조조채용정맥적주항생소등항염보액여대증치료；관찰조재항염보액급기지지치료적기출상행초성인도하경피복강천자류치인류관，련속치료3주，관찰병기록치유솔여림상반수증상소실시간、실험실검사지표회복정상시간。결과관찰조제2주치유솔위40．00％（14／35）、유효솔88．57％（31／35），제3주치유솔77．14％（27／35）、유효솔94．29％（33／35），여균고우대조조（P ＜0．05），차관찰조재림상반수증상회복시간여실험실검사결과회복시간균명현단우대조조（P ＜0．05），차치료기간관찰조무중전수술치료병례，이대조조유4례중전행수술치료。결론액화교완전、농종내분격교소차농종국한적소인란미주위농종환자，경피복강천자인류술가현저제고치유솔、축단치료시간，시일충안전가고차창상교소적치료방법。
Objective To study the percutaneous abdominal puncture drainage in treatment of puerile periappendiceal abscess under ul-trasonic guidance.Methods Seventy children who suffered from periappendiceal abscess were randomly assigned into control group and observation group.They were treated with intravenous drip to take anti-infective and supportive treatment,and the observation group adopted percutaneous abdominal puncture drainage and detain drainage tube on this basis.After 3 weeks,we observed and recorded healing rate,the extinction time of simultaneous symptoms and the recovery time of normal laboratory examination index.Results The healing rate and the effective rate were 40.00%(14 /35),88.57%(31 /35)two weeks after treatment,and 77.14%(27 /35),94.29%(33 /35)respectively in observation group,which were higher than those in control group(P <0.05).The extinction time of simultane-ous symptoms and recovery time of normal laboratory examination in observation group were shorter than those in control group(P <0.05).No patients were treated with operation in observation group and 4 patients were treated with operations in control group.Con-clusions Percutaneous abdominal puncture drainage under ultrasonic guidance for well-liquefaction,few separations and localized periappendiceal abscess can raise the healing rate and shorten the time of therapy.Therefore,it is a safe treatment with minor trauma.
