超声引导下经皮肝穿刺置管引流术治疗细菌性肝脓肿临床价值分析  

Clinical value of placed tube drainage under ultrasound guided transpercutaneous

作　　者：李成[1] 郑红[1] 梅华[1] 何永林[1] 周鹏[1] 高雪梅[1] 

机构地区：[1]四川省德阳市人民医院,四川德阳618000

出　　处：《中国医药导报》2008年第34期36-37,共2页China Medical Herald

摘　　要：目的:探讨B超引导下经皮肝穿刺置管引流术治疗细菌性肝脓肿的临床价值。方法:采用B超介导下经皮肝穿刺置管引流治疗肝脓肿30例,其中,单发脓肿24例(80.00%),2个以上多发脓肿6例(20.00%)。脓肿部位发生在肝右叶20例(66.67%),肝左叶6例(20.00%),左右肝叶4例(13.33%)。结果:患者在抽吸、置管后平均3d体温恢复正常且症状消失,引流量逐渐减少和消失,B超检查证实脓腔萎陷及无脓液。结论:B超介导下经皮肝穿刺置管引流术是一种操作简便的肝脓肿引流方法,医疗费用低,成为肝脓肿的首选治疗方法。Objective： To investigate the clinical value of placed tube drainage under ultrasound guided transpercutaneous hepatic puncture for the treatment of bacterial liver abscess. Methods： Placed tube drainage under ultrasound guided transpercutaneous hepatic puncture was used for the treatment of liver abscess in 30 cases. Among them,single abscess was in 24 cases （80.00%） and multiple abscess was in 6 eases （20.00%）.Abscess site was as follows： right lobe of liver was 20 cases（66.67%）,left lobe of liver was 6 cases（20.00%）, left and fight robe of liver was 4 cases（13.33%）. Results： The patients temperature was restored to normal and symptoms were disappeared after placed tube average 3 days. The drainage volume was reduced gradually or disappeared. Collapse of vomiea and no pus were confirmed by uhrasonography. Conclusion： Placed tube drainage under ultrasound guided transpereutaneous hepatic puncture is a kind of safe, cheap and simplified manipulated method for the treatment of liver abscess. So it has become a kind of therapeutic method of first choice for liver abscess.

关 键 词：肝脓肿 穿刺 引流 

分 类 号：R575.4[医药卫生—消化系统]