CT引导下肝脓肿穿刺置管引流术的探讨  

CT guidance of percutaneous hepatic abscess drainage

作　　者：徐家华[1] 张家兴[1] 曹传武[1] 李茂全[1] 汝复明[1] 郑曼华[1] 

机构地区：[1]同济大学附属第十人民医院介入科,上海200072

出　　处：《介入放射学杂志》2008年第8期574-577,共4页Journal of Interventional Radiology

摘　　要：目的探讨CT引导下肝脓肿穿刺引流术的方法和疗效。方法本组20例肝脓肿患者,均经临床、生化和影像学(CT)检查确诊为肝脓肿,行CT引导下定位穿刺抽吸并置管引流。脓肿位于肝左叶6例,肝右叶9例,肝2叶5例。结果14例为单个脓肿,6例为多发脓肿,单个脓肿经1次抽吸后脓肿完全消失9例,l例经2次抽吸基本消失,多发或多房脓肿穿刺先抽较大脓肿,后抽较小脓肿,或分次抽吸,20例均放置引流管并冲洗,平均引流置管时间为19.2d,所有患者至随访截止日未见复发。结论CT引导下穿刺抽吸引流是治疗肝脓肿的非常有效的方法。Objective To discuss the method and effectiveness of percutaneous drainage for hepatic abscess under CT guidance. Methods 20 patients were enrolled into this retrospective research, including 13 males and 7 females with age form 18 to 84 yrs. The diagnosis were made by clinical examination,laboratory test and CT imaging.Hepatic abscess focus involved right lobe in 9 cases, left lobe of 6 cases, both lobes with 5 cases. All patients received percutaneous abscess drainage subsequently. Results There were 14 cases with solitary abscess, in which 9 disappeared completely after single procedure of aspiration under CT guidance, 1 disappeared after twice aspirations. Multiple or multi-lobular abscesses were found in six cases, which were treated by aspirating the larger one first or by splitting multi-aspiration. In all cases, drainage catheters were placed and lavage was done with a mean time of 19.2 days together with intravenous antibiotics. There was no recurrence until the end-piont of research. Conclusions Percutaneous CT-guided aspiration and drainage is an effective way in the treatment of hepatic abscess.

关 键 词：肝脓肿 CT引导 置管引流 

分 类 号：R575.4[医药卫生—消化系统]