Comparisons of the clinical effectiveness between ultrasound-guided puncture drainage and open surgery in the treatment of pyogenic liver abscess / 中华普通外科杂志

Objective To compare the clinical effectiveness between puncture drainage and surgery in the treatment of pyogenic liver abscess.Methods Clinical date of 81 patients with pyogenic liver abscess were retrospectively analyzed.Patients were divided into the ultrasound-guided puncture drainage group (48 patients) and open surgical drainage group (33 patients).The demographic data,laboratory examination,efficient rate,complication rate,mortality,time for body temperature returned to normal and hospital stays were compared between the two groups.Results Klebsiella pneumoniae was positive in 45.45％ cases by blood culture,and in 62.50％ cases by pus culture.There was no statistically significant difference in the effective rate and mortality (x2 =0.91,2.05,P ＞ 0.05).For patients with puncture drainage hospital stay was (14 ± 5) days,significantly shorter than (17 ± 5) days in surgery group (t =-3.20,P ＜ 0.05).Time to normal temperature was (5.1 ± 1.6) days in puncture drainage group,which was shorter than (6.0 ± 1.1) days in open surgery group (t =-2.85,P ＜ 0.05).Postoperative complications were fewer in the puncture drainage group (6 cases) than open surgery group (10 cases) (x2=3.91,P ＜ 0.05).Conclusions Ultrasound-guided puncture drainage for liver abscess is safe,feasible,effective of low complication rate for the treatment of pyogenic liver abscess.

Selecting of good strain breeding in Glycyrrhiza uralensis(Ⅰ)——AFLP Analysis on genetic basis for four Glycyrrhiza uralensis / 中草药

Objective To Study the genetic basis of four plants in Glycyrrhiza L.and apply the amplified fragment length polymorphism(AFLP)molecular marker technique to the selecting of good strain breeding of Glycyrrhiza uralensis.Methods The DNA polymorphism,fingerprinting,and UPGMA ana-lysis of four cultivated species in G.uralensis from Minqin,Kashi,Akesu,and Inner Mongolia were detected by AFLP technique.Results Eight primer combinations were screened from 64 primer combinations to analyze DNA polymorphism and the DNA fingerprintings were generated by primer combination E-AAC/M-CAG.UPGMA Analysis showd that all the studied populations were clustered into four groups and had different relationships.Conclusion The results show that "Minqin No.1","Kashi No.1",and "Akesu No.1" have inimitable gene structure and should be studied more as new breeding resource.