超声引导介入诊治肝脓肿的临床价值研究  

The Clinical Value of Trans-skin Centesis under the Guidance of Ultrasound for Diagnosing and Treating the Hepatic Abscess

作　　者：韩俊[1] 洪伟勤[2] 王家刚[1] 

机构地区：[1]汕头市中心医院超声科,广东汕头515031 [2]汕头市中心医院普外科,广东汕头515031

出　　处：《实用临床医学（江西）》2007年第3期116-117,122,共3页Practical Clinical Medicine

摘　　要：目的：探讨B超引导下介入治疗肝脓肿的临床应用价值。方法：对147例门诊和住院肝脓肿患者实施B超引导下经皮肝穿刺抽吸或置管药物冲洗引流术，其中108例为单纯穿刺抽脓冲洗，39例为置管引流冲洗。结果：本组115例经超声诊断为肝脓肿，23例经CT诊断为肝脓肿，9例CT诊断为可疑的肝脓肿。147例均在超声引导下行经皮肿块穿刺抽吸术后证实为肝脓肿，经1～4次抽吸及注药治疗后，临床症状消失，复查示脓腔小于20mm，随访6个月均痊愈。结论：超声引导下穿刺诊治肝脓肿是一种安全、简便、经济、高效的方法，可作为临床治疗细菌性肝脓肿的首选方法，值得推广。Objective：To explore the clinical value of trans-skin Centesis under the guidance of ultrasound for diagnosing and treating the hepatic abscess. Methods： The Trans-skin centesis and indwelling catheter drainage under the guidance of ultrasound were used to 147 out-patients or hospitalization patients with hepatic abscess; 108 cases underwent simple centesis and 39 underwent indwelling catheter drainage, Results： One hundred fifteen cases with hepatic abscess were diagnosed by ultrasound and 23 cases were diagnosed by CT, 9 cases were diagnosed by CT with doubt, 147 cases were finally diagnosed by trans-skin centesis under the guidance of ultrasound. The clinical symptom disappeared after centesis and indwelling catheter drainage for 1 to 4 times; the vomica 〈20 mm ,the patients recovered fully after 6 months of follow-up, Conclusion： The technique of trans-skin centesis under the guidance of ultrasound for diagnosing and treating the hepatic abscess is one kind of safe, convenient, economic and high-performance method , it can be spread to clinical application.

关 键 词：肝脓肿 B超引导 介入治疗 

分 类 号：R575.4[医药卫生—消化系统]