超声引导下经皮穿刺置管引流在肝脓肿治疗中的应用  

Application of ultrasound-guided percutaneous catheter drainage in treatment of liver abscess

作　　者：杨晓伟[1] 于晓玲[1] 程志刚[1] 韩治宇[1] 刘方义[1] 于明安[1] 

机构地区：[1]解放军总医院介入超声科,北京100853

出　　处：《解放军医学院学报》2014年第2期109-111,共3页Academic Journal of Chinese PLA Medical School

基　　金：国家自然科学基金项目(81171358)~~

摘　　要：目的探讨超声引导下经皮穿刺置管引流在肝脓肿治疗中的效果。方法回顾性分析我科在2010年1月-2012年12月超声引导下经皮穿刺置管引流治疗肝脓肿患者110例(156个病灶)治疗情况及并发症发生情况。结果 110例(156个病灶)均穿刺置管成功,置管成功率100%。其中86例在穿刺置管引流后临床症状及体征消失,超声检查肝内脓腔消失,血常规白细胞总数和中性粒细胞数正常,痊愈率达到78.2%(86/110)。本组并发症发生率为4.55%(5/110)。结论超声引导下经皮穿刺置管引流治疗肝脓肿临床疗效可靠、创伤小、并发症少、复发率低,具备较高临床推广价值。Objective To study the effect of ultrasound-guided percutaneous catheter drainage on liver abscess. Methods Clinical data （treatment outcome and complication） about 110 patients with liver abscess （156 lesions） who underwent ultrasound-guided percutaneous catheter drainage in our department from January 2010 to December 2012 were retrospectively analyzed. Results Among the 110 patients who underwent ultrasound- guided percutaneous catheter drainage （with a success rate of 100%）, the clinical symptoms and signs and liver abscess disappeared, the white blood cells and neutrophils became normal in 86, with a curative rate of 78.2% （86/110）and a complication rate of 4.55% （5/110）. Conclusion Ultrasound-guided percutaneous catheter drainage is a safe treatment modality for liver abscess with minimal invasiveness, low complication and recurrence rate, and is thus worthy of wide application in clinical practice.

关 键 词：肝脓肿 超声引导 置管引流 介入治疗 

分 类 号：R445.1[医药卫生—影像医学与核医学]