摘要
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.
出处
《普外临床》
CSCD
1996年第6期369-371,共3页