超声引导下经皮肝穿刺治疗细菌性肝脓肿的临床价值  

Clinical value of ultrasound guided percutaneous puncture in the treatment of bacterial liver abscess

作　　者：张卫兵[1] 颜朝晖[1] 陈建[1] 刘华[1] 金霞[1] 陈晓[1] 朱爱萍[1] 

机构地区：[1]武警江苏省总队医院B超中心,扬州225003

出　　处：《临床医学》2011年第5期30-31,共2页Clinical Medicine

摘　　要：目的评价超声引导下经皮肝穿刺治疗细菌性肝脓肿的临床应用价值。方法对临床确诊为细菌性肝脓肿的49例患者进行超声引导下经皮肝穿刺治疗,其中22例行单纯细针抽吸术(抽吸组),26例行置管引流术(置管组),1例抽吸术后1周脓腔无明显缩小而行置管引流术(抽吸+置管组);同时配合静脉抗炎、全身支持治疗。结果超声引导下经皮肝穿刺细针抽吸或置管引流治疗后,患者体温恢复正常、白细胞计数恢复正常及脓腔消失时间分别为(2.8±0.6)d、(3.2±0.5)d、(14.6±4.2)d。所有患者均无并发症,术后3个月复查超声脓腔均消失,超声引导下经皮肝穿刺治疗细菌性肝脓肿的治愈率为100%。结论超声引导下经皮肝穿刺细针抽吸和置管引流术具有简便经济、创伤小、并发症低、治愈率高等优点,成为细菌性肝脓肿首选治疗方法。Objective To approach the clinical value of ultrasound guided percutaneous needle aspiration and percutaneous catheter drainage for bacterial liver abscess. Methods Forty-nine cases of bacterial liver abscess were treated by percutaneous puncture.Twenty-two cases of which were treated by needle aspiration and twenty-six cases were treated by percutaneous catheter drainage.One case were treated by percutaneous catheter drainage after needle aspiration for one week.Meanwhile all cases were treated by veno-antiinflammatory and supportive treatment. Results The time of the body temperature being normal,the common practice WBC being normal and the vomica being extinction were（2.8±0.6）d,（3.2±0.5）d and（14.6±4.2）d.There was no complication in all cases.After three months vomicas disappeared by ultrasound-recheck.The curing rate of ultrasound guided percutaneous puncture for bacterial liver abscess was 100%.Conclusion Ultrasound guided percutaneous needle aspiration and percutaneous catheter drainage is more convenient,cheaper with less injure,low complication and high curing rate and can become the first choice treatment for bacterial liver abscess.

关 键 词：超声引导 细菌性肝脓肿 置管引流 细针抽吸 

分 类 号：R575.4[医药卫生—消化系统]