超声引导下经皮腹腔穿刺引流治疗小儿阑尾周围脓肿的临床研究

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。

Percutaneous abdominal puncture drainage in treatment of puerile periappendiceal abscess under ultrasonic guidance

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.