| 经皮穿刺置管引流术治疗不同糖化血红蛋白水平糖尿病肝脓肿患者的预后分析 |
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| 引用本文： | 徐圣,石宝琪,朝鲁孟,谭永胜,张学军. 经皮穿刺置管引流术治疗不同糖化血红蛋白水平糖尿病肝脓肿患者的预后分析[J]. 中国介入影像与治疗学, 2019, 16(9): 550-554 |
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| 作者姓名： | 徐圣 石宝琪 朝鲁孟 谭永胜 张学军 |
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| 作者单位： | 内蒙古自治区人民医院介入诊疗科 |
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| 摘 要： | 目的比较不同糖化血红蛋白(HbA_(1c))水平糖尿病(DM)伴肝脓肿(PLA)患者经皮穿刺置管引流术(PCD)治疗的预后,探讨影响术后总恢复时间(ORT)的因素。方法回顾性分析接受PCD治疗的33例DM伴PLA患者,根据HbA_(1c)水平分为A组(HbA_(1c)7%,n=11)、B组(7%≤HbA_(1c)9%,n=9)及C组(HbA_(1c)≥9%,n=13),比较3组治疗有效率、ORT及复发率。采用Log-rank检验及Cox多因素回归分析探讨影响ORT的因素。结果 PCD治疗有效率为100%(33/33),平均ORT为(24.30±11.60)天,平均拔管时间(27.76±12.03)天;平均随访时间(11.02±6.51)个月。3组PLA复发率差异无统计学意义(P=0.140),ORT比较差异有统计学意义(P=0.002)。单因素及多因素分析显示,感染性休克[风险比(HR)=0.320,95%CI(0.131,0.777),P=0.012]和HbA_(1c)≥7%[HR=0.249,95%CI(0.104,0.594),P=0.002]是影响ORT的因素。结论对于DM伴PLA患者,HbA_(1c)水平越高,经PCD治疗后ORT越长。感染性休克及HbA_(1c)是影响ORT的因素。
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| 关 键 词： | 糖尿病 肝脓肿 经皮穿刺置管引流术 糖化血红蛋白 休克,脓毒性 |
| 收稿时间： | 2019-05-20 |
| 修稿时间： | 2019-07-26 |
Prognostic analysis for diabetic pyogenic liver abscess patients in different levels of haemoglobin treated with percutaneous catheter drainage |
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| XU Sheng,SHI Baoqi,CHAO Lumeng,TAN Yongsheng and ZHANG Xuejun. Prognostic analysis for diabetic pyogenic liver abscess patients in different levels of haemoglobin treated with percutaneous catheter drainage[J]. Chinese Journal of Interventional Imaging and Therapy, 2019, 16(9): 550-554 |
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| Authors: | XU Sheng SHI Baoqi CHAO Lumeng TAN Yongsheng ZHANG Xuejun |
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| Affiliation: | Department of Interventional Therapy, Inner Mongolia People''s Hospital, Hohhut 010017, China,Department of Interventional Therapy, Inner Mongolia People''s Hospital, Hohhut 010017, China,Department of Interventional Therapy, Inner Mongolia People''s Hospital, Hohhut 010017, China,Department of Interventional Therapy, Inner Mongolia People''s Hospital, Hohhut 010017, China and Department of Interventional Therapy, Inner Mongolia People''s Hospital, Hohhut 010017, China |
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| Abstract: | |
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| Keywords: | diabetes mellitus liver abscess percutaneous catheter drainage glycosylated hemoglobin shock, septic |
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