CT引导下经皮穿刺肝脓肿的介入治疗

Percutaneous puncture aspiration under CT guidance for interventional treatment of hepatic abscess

目的探讨CT引导下穿刺抽吸、冲洗治疗肝脓肿的方法和价值。方法在CT引导下经皮穿刺对35例肝脓肿进行抽吸及冲洗治疗,冲洗液采用庆大霉素与甲硝唑混合溶液。结果本组35例肝脓肿中多房脓肿8例、单房脓肿27例;其中8例脓肿腔内见有气体。经过一次抽吸冲洗治愈者25例,二次治愈者4例,三次治愈者6例。抽吸冲洗出脓汁的量在35mL～760mL。绝大部分病人治疗后于当日体温恢复正常。5例未住院,其余30例病人住院时间平均6.5d。结论CT引导下经皮穿刺治疗肝脓肿是一项操作简便安全、非常有效的治疗方法,这种方法具有定位准确、损伤小、适应性广泛、便于广泛推广的突出特点。

Objective To investigate the method and the value of percutaneous puncture aspiration and irrigation under CT guidance for the interventional treatment of hepatic abscess. Methods The percutaneous puncture aspiration and irrigation was performed in 35 patients with hepatic abscess under CT guidance, the mixed solution of gentamycin and metronidazole for irrigation was used. Results thirty - five hepatic abscess involved muhilocular abscess 8 cases and unicameral abscess 27 cases, the gas vacuole in the some abscess could be found. Pass by once treatment had been cured 25 patients, two times 4 patients, three times 6 patients. The quantity of the juice of abscess that be abstracted among in 35 mL ~ 760 mL. The majority patients after the treatment in that day the temperature recovered normally. Five patients did not stay in the hospital, the others hospitalization time average 6. 5 days. Conclusion Percutaneous puncture aspiration and irrigation under CT guidance for the interventional treatment of hepatic abscess is a safe and effective method. This method has outstanding charac- teristics of the local accurate, hurt small, adaptability extensive, easier to extensive expansion.