超声引导微创治疗肾脓肿的临床价值探讨

邵春晖，罗永科，李培英，文超，张妮

（宝鸡市人民医院超声科，陕西 宝鸡，721000）

浏览次数：85次 下载次数：324次

摘要：

目的 探讨肾脓肿在超声引导下微创治疗的临床价值。方法 将2009年9月至2015年9月收治的明确诊断为肾脏脓肿的32例患者分为试验组和对照组，各16例。试验组患者采用8F 猪尾巴引流导管组在超声引导下经皮穿刺置管引流微创治疗，对照组患者采用传统的腹腔镜下去顶开窗减压术，比较两组患者的治疗效果。结果 试验组患者的手术时间、引流时间、住院时间均明显短于对照组，且试验组患者的并发症发生率和复发率均低于对照组，差异均具有统计学意义（P<0.05）；但两组患者的治愈率和死亡率比较，差异无统计学意义（P>0.05）。结论 超声引导微创治疗肾脓肿能最大限度地缩短住院时间， 减轻患者痛苦，降低术后并发症发生率，减轻患者经济负担，手术操作简便安全，患者痛苦小，术后恢复快，是临床治疗肾脓肿的有效方法之一，值得应用及推广。

关键词：肾脓肿；超声引导；微创；8F 猪尾巴引流导管组

中图分类号：R692.9文献标志码：A文章编号：2096-1413(2017)21-0134-02

Clinical value of ultrasound guided minimally invasive treatment in the treatment of renal abscess
SHAO Chun-hui, LUO Yong-ke, LI Pei-ying, WEN Chao, ZHANG Ni
(Department of Ultrasound, Baoji People``s Hospital, Baoji 721000, China)

ABSTRACT: Objective To investigate the clinical value of ultrasound guided minimally invasive treatment in the treatment of renal abscess. Methods From September 2009 to September 2015, 32 cases of patients with definite diagnosis of renal abscess in our hospital were divided into experimental group and control group, with 16 cases in each group. The experimental group was treated with 8F pig tail drainage catheter group with ultrasound guided percutaneous catheter drainage minimally invasive treatment, while the control group was treated with conventional decompression under laparoscopy. The therapeutic effects of the two groups were compared. Results The operation time, drainage time and hospitalization time in the experimental group were significantly shorter than those in the control group, and the complications and recurrence rates of the experimental group were significantly lower than those of the control group, the differences were statistically significant (P<0.05). However, there were no significant differences between the two groups in the cure rate and mortality rate (P>0.05). Conclusion Ultrasound guided minimally invasive treatment of renal abscess can maximize shorten hospitalization time, alleviate the suffering of patients, reduce the postoperative incidence of complications and reduce the economic burden of the patients. The surgical operation is simple, safe, with less pain, postoperative recovery quicker, which is one of effective methods for clinical treatment of renal abscess, and is worthy of application and popularization.
KEYWORDS: renal abscess; ultrasound guided; minimally invasive; 8F pig tail drainage catheter group

参考文献：
[1] 李春华,余毅.介入超声治疗肾囊肿68 例分析[J].中国现代医学杂志,2008,18(17):2585-2586.
[2] 吴松松,李建卫,陈圣,等.床边介入超声在外科危重症诊疗中的应用价值[J].中华临床医师杂志:电子版,2011,5(1):141-144.
[3] 陈阳,管德辉,曾宪辉,等.超声引导下经皮穿刺注射95%酒精治疗肾囊肿86例报告[J].航空航天医学杂志,2010,21(10):1852.
[4] 刘卫方,吴红军,梁颖杰,等.超声引导穿刺置管负压引流治疗肾周脓肿(附11例报告)[J].临床泌尿外科杂志,2002,17(11):583-584.
[5] 于洁.超声引导下经皮经肾穿刺治疗肾脓肿[J].检验医学与临床,2008,5(22):1392-1393.