[目的]探讨超声引导下阑尾脓肿穿刺引流结合中药治疗的疗效。[方法]78例阑尾脓肿患者均在超声引导下行阑尾脓肿穿刺术，并结合常规抗生素及中药红藤汤治疗，定期复查血常规及B超。[结果]脓腔3～4cm的14例，穿刺1次；脓腔4～8 cm的59例，穿刺2～3次；脓腔＞8cm的5例，留置Cook引流管，2周左右拔除。抽脓6～250mL，3d后腹痛基本缓解。包块消失3～21d，平均（10.33±3.15）d。78例全部治愈，1个月后随访65例，随访率83.3%。[结论]采取超声引导下阑尾脓肿穿刺引流结合中药治疗,能明显降低阑尾脓肿患者的死亡率、并发症、住院时间及住院费用。% [Objective] To explore the cure effect of puncture drainage and TCM under ultrasonic guidance on appendiceal abscess.[Method]78 cases of ap-pendiceal abscess were punctured under ultrasonic guidance, and treated with routine antibiotics and TCM Hongteng Decoction; make periodical blood routine examination and B-ultrasonic. [Result]14 cases had vomica 3.0~4.0cm, with 1 puncture; 59 cases, 4~8cm, with 2~3 punctures; 5 cases, >8cm, with Cook drainage tube, removed after 2w or so. Draw the pus for 6~250mL,the abdominal pain was relieved most after 3d. The mass disappeared after 3~21d,(10.33±3.15)d in average. 78 cases were al cured; 65 cases were fol owed up after 1m, the fol ow-up rate was 83.3%. [Conclusion]The said method above can markedly reduce lethal rate, complications, in-hospital period and fees of appendiceal abscess patients.
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