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经皮治疗腹部手术后局限性积液的结果。

RESULTS OF PERCUTANEOUS TREATMENT OF LIMITED FLUID FORMATIONS AFTER ABDOMINAL SURGERY.

机构信息

Azerbaijan State Institute of Advanced Medical Education named after Aliyev, Baku, Azerbaijan.

出版信息

Georgian Med News. 2024 Jul-Aug(352-353):69-74.

PMID:39441272
Abstract

THE PURPOSE OF THE STUDY

Evaluation of the results of percutaneous drainage in the treatment of visceral and non-visceral fluid formations that developed in the abdominal cavity in the postoperative period.

MATERIAL AND METHODS

The study involved 64 patients who underwent percutaneous drainage under ultrasound control, and 30 patients who underwent open surgical drainage. The clinical variables were analyzed along with the results of the interventions.

RESULTS

The average hospital stay of patients who underwent open surgical drainage (11.10±3.42 days) was longer than that of patients who underwent percutaneous drainage (9.13±1.63 days). The average time of temperature decrease during percutaneous drainage was 4.31±1.75 days, and with open surgical drainage -4.94±2.01 days. Percutaneous drainage was successful in 96.8% of patients, and an unsuccessful result was observed in 3.2% of patients. In patients who underwent open surgical drainage, these rates were 80% and 20%, respectively. Compared with percutaneous drainage, complications were more frequent in patients who underwent open surgical drainage and amounted to 12.4% and 16.7%, respectively.

CONCLUSION

Percutaneous drainage under ultrasound control has a lower mortality rate compared to open surgical drainage, as well as reduces hospital stay and in most cases can replace drainage with traditional open or laparoscopic intervention.

摘要

研究目的

评估经皮引流在治疗术后腹腔内内脏和非内脏液体积聚中的疗效。

材料与方法

本研究纳入了 64 例行超声引导下经皮引流的患者和 30 例行开放手术引流的患者。分析了临床变量以及干预结果。

结果

行开放手术引流的患者平均住院时间(11.10±3.42 天)长于行经皮引流的患者(9.13±1.63 天)。行经皮引流的患者体温下降平均时间为 4.31±1.75 天,而行开放手术引流的患者为 4.94±2.01 天。经皮引流成功率为 96.8%,失败率为 3.2%。行开放手术引流的患者成功率为 80%,失败率为 20%。与经皮引流相比,行开放手术引流的患者并发症更常见,发生率分别为 12.4%和 16.7%。

结论

与开放手术引流相比,超声引导下经皮引流的死亡率更低,住院时间更短,并且在大多数情况下可以替代传统的开放或腹腔镜干预。

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