超声引导下介入治疗艾滋病合并肝脓肿的临床价值  

Clinical value of interventional therapy with ultrasound guided in AIDS patients with liver abscess

作　　者：杨学平[1] 王丽萍[1] 罗艳[1] 张瑶[1] 王连双[1] 

机构地区：[1]首都医科大学附属北京地坛医院物理诊断科,北京100015

出　　处：《中国肝脏病杂志（电子版）》2015年第1期77-79,共3页Chinese Journal of Liver Diseases：Electronic Version

摘　　要：目的探讨超声引导下介入治疗艾滋病合并肝脓肿的临床价值。方法回顾性分析2009年10月至2014年1月在本科室行超声引导下介入治疗的艾滋病合并肝脓肿患者17例（31个肝脓肿）的治疗情况。结果全部17例患者中,单发脓肿9例,多发脓肿8例,脓肿总数31个。穿刺抽吸16个脓肿,置管引流15个脓肿,成功率100%,引流时间6~30天。手术未出现医护人员职业暴露,患者未出现不良反应,全部患者均治愈。1例患者肝脓肿治愈3个月后出现肝内新发脓肿,再次经皮穿刺抽吸后治愈。结论超声引导下介入治疗AIDS合并肝脓肿是一种安全、有效的治疗方式,亦是首选治疗方式。Objective To observe the effect of interventional therapy guided by ultrasound in AIDS patients with liver abscess. Methods Clinical data about 17 patients of AIDS with liver abscesses（31 lesions） who underwent interventional therapy guided by ultrasound in our department from October 2009 to January 2014 were retrospectively analyzed. Results There are 31 abscesses among the 17 patients, single abscess in 9 cases, and multiple abscess in 8 cases. We punctured 16 abscesses and catheterized 15 abscesses with a success rate of 100%, the range of drainage time was 6-30 days. There was no medical staff exposed infection and definite complication with patients. All the patients were cured. One patient with a new abscess was punctured again after 3 months. Conclusions Interventional therapy with ultrasound guided is safe and effective for AIDS patients with liver abscess, also is the preferred treatment.

关 键 词：获得性免疫缺陷综合征 肝脓肿 超声检查 

分 类 号：R512.91[医药卫生—内科学] R575.4[医药卫生—临床医学]