| 摘要: |
| 目的 探讨超声造影（CEUS）在阑尾周围脓肿介入治疗中的应用价值。方法 选取于我院就诊的阑尾周围脓肿患者135例，其中70例在CEUS引导下穿刺引流（造影组），65例在二维超声引导下穿刺引流（对照组），分析两组患者穿刺成功率、疗效以及并发症发生率的差异。结果 造影组首次穿刺治疗成功率为84.3%，明显高于对照组（72.3%），差异有统计学意义（P＜0.05），但两组间二次穿刺成功率、总穿刺成功率比较差异均无统计学意义。造影组治疗效果的优良率为94.3%，明显高于对照组（80.0%），差异有统计学意义（P＜0.05）。对照组中穿刺并发症发生率为23.1%，明显高于造影组（10.0%），差异有统计学意义（P＜0.05）。结论 CEUS能准确评估阑尾周围脓肿内部脓腔结构，并能提高脓肿首次穿刺成功率、疗效并减少并发症发生率，具有一定临床应用价值。 |
| 关键词: 超声造影 造影剂 阑尾周围脓肿 介入治疗 |
| DOI： |
| 投稿时间：2018-06-12修订日期：2019-04-02 |
| 基金项目: |
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| Aanalysis of contrast-enhanced ultrasound in theinterventional therapy of periappendiceal abscesses |
| HUANG Xin,CHEN Wenwei |
| (Dept.of Ultrasound,Renmin Hospital of Wuhan University) |
| Abstract: |
| Objective To investigate the value of contrast-enhanced ultrasound（CEUS） in the interventional therapy of periappendiceal abscesses.Methods In a retrospective study about 135 cases of periappendiceal abscesses,70 cases were punctured under the guidance of CEUS as CEUS group，65 cases guided by conventional ultrasound were set as control group.Analyze the differences of puncture success rate, curative effect and incidence rate of complication between the two groups.Results The success rate of first puncture in CEUS group （84.3%） was higher than that in the control group （72.3%）（P＜0.05）,while there was no statistically significant difference about the success rate of second puncture and total puncture. The superior rate in CEUS group （94.3%） was higher than the control group （80.0%）（P＜0.05）,however the incidence rate of complication of CEUS group （10.0%） was less than the control group （23.1%）（P＜0.05）.Conclusion CEUS can accurately evaluate the formation of abscess cavity in periappendiceal abscess，and can improve first puncture treatment success rate and curative effect，also reduce incidence rate of complication.So it has certain value in clinical application.. |
| Key words: contrast-enhanced ultrasound medium periappendiceal abscess interventional therapy |
