彩超引导经皮肝穿刺引流治疗细菌性肝脓肿  

Color Doppler ultrasound to guide percutaneous transhepatic drainage for the treatment of pyogenic liver abscess

作　　者：李晓云[1] 吴纫[1] 叶志[1] 李俊辉[1] 袁阳春[1] 

机构地区：[1]广东省揭阳市人民医院超声科,广东揭阳522000

出　　处：《广州医学院学报》2011年第6期45-46,共2页Academic Journal of Guangzhou Medical College

摘　　要：目的:探讨彩超引导经皮肝穿刺引流治疗细菌性肝脓肿的临床疗效。方法:回顾性分析2009年1月至2011年6月广东省揭阳市人民医院应用彩超引导经皮肝穿刺引流治疗25例细菌性肝脓肿患者的临床资料。结果:25例患者采用单纯穿刺抽脓9例,其中6例仅进行一次穿刺抽液治疗、3例需进行第二次穿刺抽液治疗;置管引流16例,留置引流管(15±3)d。25例患者无明显并发症,均痊愈出院,平均住院时间(18±6)d。结论:彩超引导经皮肝穿刺引流操作简便、安全可靠、疗效显著、患者痛苦小,是治疗细菌性肝脓肿的理想方法。Objective： To investigate the clinical efficacy of color Doppler ultrasound in guiding percutaneous transbepatic drainage for treatment of pyogenic liver abscess. Methods： A retrospective analysis was performed on the clinical data from 25 patients who were registered to Jieyang People＇s Hospital and received color Doppler ultrasound guided percutaneous drainage as a treatment for pyogenie liver abscess between January 2009 and June 2011. Results： Of the 25 patients, 9 received puncture drainage of pus （including single puncture in 6 cases and repeated puncture in 3 ） , and 16 received drainage of pus with indwelling of a tube for a mean of 15 ~ 3 days. No significant complications were reported in the 25 patients. All of them fully recovered, after a mean hospital stay of 18 ＋ 6 days. Conclusion： Color Doppler guided percutaneous transhepatie puncture and drainage appears easy to use, safe, reliable and less painful, therefore can be an ideal treatment for pyogenic liver abscess.

关 键 词：细菌性肝脓肿 彩超引导 经皮肝穿刺 

分 类 号：R657.3[医药卫生—外科学]