超声造影在脓肿介入抽吸中的应用价值  

Application value of contrast-enhanced ultrasound in interventional aspiration treatment of abscesses

作　　者：谯朗[1] 徐嘉[1] 高俊飞[1] 

机构地区：[1]四川省中西医结合医院功能科,成都市610041

出　　处：《临床超声医学杂志》2011年第10期696-698,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的评价超声造影技术在脓肿抽吸中的临床应用价值。方法将临床诊断为肝、胸腔及盆腔的38例脓肿患者分为两组。造影组18例,在介入穿刺抽吸术前进行超声造影,实时观察脓肿的灌注情况,准确测量脓肿中未增强的液化坏死区范围,并据此选择进针路径进行超声引导下抽吸术;非造影组20例作为对照,由常规灰阶超声和彩色多普勒血流成像确定脓肿范围及穿刺路径。比较两组的穿刺成功率及抽吸满意度。结果造影组和非造影组一次性穿刺成功率分别为100%和83.3%,抽吸满意度分别为89%和70%,两组比较差异均有统计学意义(均P<0.05)。结论超声造影较常规超声能更准确地勾勒脓肿的液化区域,对于提高抽吸的成功率及满意度有一定的价值。Objective To evaluate the clinical application value of contrast-enhanced ultrasound （CEUS） in interventional aspiration treatment of abscesses. Methods Thirty-eight patients with liver, chest and pelvic abscesses were divided into CEUS group （ 18 cases ） and control group （20 cases ） randomly. In CEUS group, all cases underwent CEUS examination to observe blood perfusiou of the lesion, the volume of the necrotic area without enhancement was measured and the needle path was determined before ultrasound-guided aspiration. In control group, conventional gray scale and color Doppler ultrasound were performed to decide the volume and needle path for abscess aspiration. The successful rate and degree of satisfaction of aspiration were compared between two groups. Results The successful rate of one time in two groups was 100% and 83.3% , the satisfaction of aspiration was 89% and 70% , there was significant difference between two groups（P 〈 0.05）. Conclusion CEUS is more useful in depiction of necrotic area for abscess than conventional ultrasound, and it can improve the successful rate and degree of satisfaction for abscess aspiration.

关 键 词：超声检查 造影剂 介入性超声 脓肿 穿刺抽吸 

分 类 号：R632.5[医药卫生—外科学] R445.1[医药卫生—临床医学]