普通超声探头引导下肝脓肿穿刺  

Study of therapeutic puncture of hepatic abscess under the guidance of ultrasonography

作　　者：顾新刚[1] 李莲青[1] 蔡敏[2] 李力[2] 

机构地区：[1]上海市杨浦区中心医院超声科,200090 [2]上海市杨浦区中心医院内科,200090

出　　处：《上海医学影像》2006年第1期50-51,共2页Shanghai Medical Imaging

摘　　要：目的探讨利用普通探头引导下,进行肝脓肿穿刺治疗的方法。方法利用普通凸阵探头,频率3.5MHz,首先对病灶进行定位,在表皮选择离病灶最短距离处定位,旁开探头2cm左右,避开腹腔内其他脏器及胸腔,避开肝内重要血管和结构,在B超实时监视导航穿刺针,以穿刺针到达脓腔的中心位置后,拔出针芯,接上注射器抽尽脓液并予以甲硝唑溶液反复冲洗。结果在所进行治疗的38例40个病灶中,一次穿刺成功率100%,无不良并发症发生,穿刺抽液后患者体温即下降,有效率100%。结论利用普通探头引导进行穿刺,方法简便,灵活,可调节性好,是值得广泛应用的治疗方法。Objective To discuss the puncture method of treating hepatic abscess under the guidance of conventional ultrasonography. Methods The convex probe with 3.5MHz was used in the study.According to the section images on uhrasonography with the shortest pathway and away with important vessels and structures, and other organs as well, the needle was puncturedinto the abscess under the real-time guidance of ultrasonography. Then the core was pulled out, and pulis was drained and flushed with metronidazole repeatedly. Results In 3g cases with 40 abscesses, achievement ratio in the first puncture was 100% without any complication. Patients＇ temperature descended after drainage with an efficient rate of 100%. Conclusion The drainage under the guidance of uhrasonography is easy to perform and valuable in treating hepatic abscess clinically.

关 键 词：肝脓肿 超声介入治疗 

分 类 号：R575.4[医药卫生—消化系统] R651.15[医药卫生—内科学]