经皮置管引流治疗肝脓肿152例报告

Perutaneous transhepatrc liver abscess puncture drainage: report of 152 cases

作者报告在Ｂ超引导下，采用粗针经皮穿刺直径在５ｃｍ以上的肝脓肿置管引流（ＰＣＤＨＡ），疗效满意。其中细菌性肝脓肿１２７例，阿米巴肝脓肿２５例。单发脓肿１３６例（右肝１１１例，左肝２５例），多发脓肿１６例。共计脓腔２０３个，与同期手术引流４１例肝脓肿病例比较，它具有创伤小，并发症少，治愈率高，住院时间短，较手术安全等优点。与穿刺抽吸比较，因它是一次性置管持续引流，可以减少毒血症，有利于脓腔闭合，避免多次穿刺对肝脏的损伤。半年后脓肿复发率只占１．３％，且还可再用ＰＣＤＨＡ治愈。作者介绍了穿刺技术和遇到几个具体问题的解决办法。

Abstract In this study, 25 cases of amebic liver abscess and 127 cases of bacterial liver abscess were treated by nonoperative percutaneous transhepatic liver abscess puncture drainage (PTAD), Results were compared with that of operative drainage in 41 cases. It was found that PTAD has the advantage of minitrauma,few complicationshigh cure rete,Shorter hospital stay,and safety.