Objective To explore the feasibility of two-port laparoscopic drainage in the treatment of liver abscess. Methods A total of 18 patients with bacterial hepatic abscess underwent twoport laparoscopic drainage.Two incisions were made at the superior border of the umbilicus and 4～5 cm below the right costal margin near the anterior axillary line,respectively.The abscess was cut through in "┼" or "╫" shape.The pus cavity was debrided bluntly,and a double-lumen drainage tube was placed.Results The laparoscopic drainage was performed successfully in all the 18 patients.The operative duration was 30～75 min(mean,45 min).A bile leakage for 80～100 ml per day occurred in 1 patient.The drainage tube was removed on the 12th postoperative day and the patient was discharged from hospital on the 14th postoperative day.Of the 18 patients,the hospital stay after operation was 7～14 d(mean,8.5 d).All the patients were followed for 5～12 months(mean,9 months) and no residual abscess or recurrence was found. Conclusions Two-port laparoscopic drainage for liver abscess is an ideal approach with advantages of simple manipulation,slight contamination inside abdominal cavity,little trauma,low complication rates,and rapid recovery.

This study was aimed to explore the clinical mechanism of combined acupuncture and traditional Chinese medicine (TCM) in the treatment of polycystic ovarian syndrome (PCOS) and to evaluate its clinical curative effect.A total of 100 PCOS patients were randomly divided into three groups,which were group A,B and C,with 50 cases in each group.Group A was treated with ethinyl estradiol and clomiphene.Group B was treated with TCM.Group C was treated with acupuncture combined with TCM.One menstrual cycle was counted as one treatment course.There were a total of 6 treatment courses.Observation was given on menstrual condition of the patient,basal body temperature (BBT),level of sex hormones,ovulation and follicular before and after treatment.The results showed that the total effective rate of group C was 82％,which was significantly higher than that of the control group (P ＜ 0.05).The normal rate of menstruation recovery of group C was 100％,which was significantly higher than those of group A and B (P ＜ 0.05).After treatment,the biphasic rate of BBT in group C was 70％,which was significantly higher than that of the control group (P ＜ 0.05).The basal FSH (14.6±2.9) IU/L and basal E2 (53.2± 12.4) pg/ml of group C were significantly higher than those of group A and B.The basal LH (25.4±5.8) IU/L,T (1.0±0.2) μg/L of group C were significantly lower than those of group A and B (P ＜ 0.05),with statistical significance.It was concluded that acupuncture combined with TCM can be used in the treatment of PCOS by regulating menstruation,adjusting BBT,the level of sex hormone,and promoting ovulation.

This study was aimed to investigate the effect of acupuncture combined with traditional Chinese medicine (TCM) on the incidence of lipid metabolism and the incidence of hyperandrogenism in patients with polycystic ovary syndrome (PCOS).The clinical data of 85 PCOS cases in our hospital from March 2015 to August 2016 were retrospectively analyzed.There were TCM treatment group and acupuncture combined with TCM group according to the treatment method.The difference of blood lipid level,hormone level,incidence rate of hyperandrogenism and clinical symptom score before and after treatment in both groups were observed.The results showed that the incidence rate of hyperandrogenism was 2.22％ in the acupuncture combined with TCM group,which was significantly lower than TCM group (x2=7.070,P =0.008).There was no difference on blood lipid level before treatment in both groups.After treatment,levels of TC,LDL-C and TG of the acupuncture combined with TCM group were significantly lower than those of the TCM group;however,level of HDL-C was higher than that of the TCM group (t =1.817,-3.627,2.554,2.226,P ＜0.05).There was no difference on hormone levels before treatment.After treatment,hormone levels of the acupuncture combined with TCM group were significantly lower than the TCM group.Before treatment,there was no difference on TCM symptom score between both groups.After treatment,the TCM symptom score of the acupuncture combined with TCM group was significantly lower than that of the TCM group.It was concluded that acupuncture combined with TCM had a better therapeutic effect on PCOS.It can improve the blood lipid level of patients and reduce the incidence of hyperandrogenism.It had good clinical value.