B超引导下经皮肝穿刺置管引流治疗肝脓肿的临床观察  

Ultrasound guided percutaneous liver puncture catheter drainage in the treatment of liver abscess

作　　者：李逊[1] 李鹏[1] 李英华[1] 李汝红[1] 于海东[1] 

机构地区：[1]昆明医科大学附属延安医院,云南昆明650051

出　　处：《医学美学美容（中旬刊）》2013年第9期64-65,共2页

摘　　要：目的：探讨B超引导下经皮肝穿刺置管引流治疗肝脓肿的疗效性及安全性。方法：回顾性分析2010年5月到2012年5月我科38例行B超引导下经皮肝脓肿穿刺置管引流术患者的临床资料，观察38例肝脓肿穿刺效果，患者的一般情况，感觉，疗效、住院时间、并发症等。结果：38例患者均治愈，术后平均体温恢复时间2天，平均住院时间7天，平均置管引流时间9天；治疗过程中无出血、感染扩散、邻近组织损伤等并发症发生；B超随访，脓肿消失者35例，3例原痛灶处出现强回声团但未见液性图像。随访半年无复发。结论：B超引导下经皮肝脓肿穿刺置管引流安全有效，且具有创伤小、住院时间短的优点。objective to investigate the ultrasound guided percutaneous liver puncture catheter drainage treatment the curative effect and safety of liver abscess. Methods a retrospective analysis in May 2010 to May 2010 I branch of 38 underwent ultrasound guided percutaneous liver abscess drainage tube after the clinical data of patients, observe the effect of 38 cases of liver abscess puncture, the patient＇s general situa- tion, feeling, curative effect, length of hospital stay, complications, etc. Results 38 patients were cured, the average temperature recovery time after 2 days, the average hospitalization time 7 days,on average, catheter drainage time 9 days ; Treatment process without complications such as bleeding,lnfection spread,adjacent tissue damage occurred; Ultrasound follow--up,abscess disappeared 35 cases,3 cases of the lesion site in strong echo mass of liquid but did not see the image. Follow-- up for half a year without recurrence. Conclusion ultrasound guided percuta- neous liver abscess drainage tube is safe and effective,and has the advantages of small trauma,shorter hospitalization time.

关 键 词：超声引导 经皮穿刺 肝脓肿 

分 类 号：R657.3[医药卫生—外科学]