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目的:探讨超声造影在腹腔脓肿穿刺引流中的应用价值。方法:选取2012年6月-2016年7月于我院就诊的213例腹腔脓肿患者,其中114例在超声造影引导下穿刺引流为造影组,99例在常规超声引导下穿刺引流为对照组。比较两种检查方法对脓腔有无、数量以及大小的诊断准确率,统计两组中脓肿的穿刺治疗方式并分析两组脓肿穿刺治疗成功率、并发症发生率的差异性。结果:213例腹腔脓肿中,膈下脓肿、盆腔脓肿和肠间脓肿分别为31例、84例和98例。超声造影对脓腔的有无以及脓腔数量、大小的诊断准确率均高达100%,明显高于常规超声(P<0.05)。造影组穿刺治疗成功率(94.7%)明显高于对照组(85.8%),且并发症发生率(6.1%)也低于对照组(15.2%),差异均具有统计学意义(P<0.05)。结论:超声造影能准确判断腹腔脓肿中脓腔的形成以及数量、大小,并能提高脓肿穿刺治疗成功率、减少并发症发生率,具有较高的临床应用价值。
Objective: To evaluate the value of contrast-enhanced ultrasound in puncture and drainage of abdominal abscess. Methods: Totally 213 patients with peritoneal abscess who were treated in our hospital from June 2012 to July 2016 were selected. Among them, 114 cases underwent puncture and drainage under the guidance of ultrasound contrast and 99 cases underwent puncture and drainage under the guidance of conventional ultrasound as the control group. The diagnostic accuracy of the two methods for the presence, quantity and size of the abscess was compared. The puncture patterns of the abscess in the two groups were compared and the differences between the two groups in the success rate and the complication rate were analyzed. Results: In 213 cases of peritoneal abscess, subphrenic abscess, pelvic abscess and intestine abscess were 31, 84 and 98 respectively. Contrast-enhanced ultrasonography showed that the diagnostic accuracy of the abscess cavity and the number and size of the abscess cavity were as high as 100%, significantly higher than that of the conventional ultrasound (P <0.05). The success rate of radiofrequency catheterization (94.7%) was significantly higher than that of the control group (85.8%), and the complication rate was also lower than that of the control group (6.1%) (15.2%, P <0.05) . Conclusion: Contrast - enhanced ultrasound can accurately determine the formation, number and size of abscess in abscess and improve the success rate of abscess and reduce the incidence of complications, which has a high clinical value.