CT 引导经皮穿刺置管引流治疗肝脓肿  

CT-guided percutaneous catheter drainage in thetreatment of liverabscess

作　　者：卢占兴 陈新晖 

机构地区：[1]平煤神马医疗集团总医院放射科,河南平顶山467000

出　　处：《实用放射学杂志》2014年第8期1373-1375,共3页Journal of Practical Radiology

摘　　要：目的：探讨 CT 引导下经皮穿刺置管引流治疗肝脓肿的方法和疗效。方法对36例肝脓肿患者行 CT 引导下经皮穿刺放置8F 猪尾巴引流管持续引流。结果36例采用“一步法”穿刺均1次穿刺置管成功,无严重并发症发生,全部患者置管引流治疗后症状得到改善。30例为单一病灶,6例为多发病灶；平均引流置管时间为21.2 d。脓肿最大径为4.0~19.5 cm,平均8.3 cm。结论肝脓肿 CT 引导下置管治疗是一种安全、有效、微创且易被患者接受的治疗方法。Objective To investigate the method and curative effect of the CT-guided percutaneous catheter drainage in hepatic ab-scess.Methods 36 patients with liver abscess were treated with “one-step”percutaneous 8F pig tail catheter tube under CT guidance. Results 36 patients were performed “one-step”percutaneous catheter drainage,the successful rate was 100%,no severe complica-tions occurred.Symptoms were improved after cathetering in all patients.Of these 36 patients,30 patients had single abscess and 6 patients had multiple abscesses.The mean duration of drainage catheterization was 21.2 days for 36 patients.The diameter of ab-scess was between 4.0-1 9.5 cm,the mean diameter of abscess was 8.3 cm.Conclusion CT-guided percutaneous hepatic abscess catheter drainage is a safe,effective,minimally-invasive treatment.

关 键 词：计算机体层成像 经皮肝穿刺 肝脓肿 引流术 

分 类 号：R814.42[医药卫生—影像医学与核医学] R657.33[医药卫生—放射医学]