超声引导经皮肝穿刺引流术治疗细菌性肝脓肿

The Application of ultrasound guided percutaneous puncture drainage in the treatment of bacterial liver abscess

目的评价超声引导经皮肝穿刺引流术在细菌性肝脓肿治疗中的临床应用价值。方法对35例超声引导下经皮肝穿刺引流(穿刺组)和同期36例手术切开引流(手术组)治疗细菌性肝脓肿的疗效进行对照分析。结果穿刺组治愈率(97.1%)与手术组治愈率(94.4%)差异无统计学意义(P>0.05),而穿刺组在住院天数、术后血象恢复正常时间、术后体温恢复正常时间、脓腔消失时间、治疗费用方面明显优于手术组(P<0.01),术后并发症在穿刺组明显少于手术组(P<0.05)。结论与传统手术切开引流术相比,经皮肝穿刺引流术具有安全、微创、简便、康复快和经济等优点,可以作为细菌性肝脓肿首选治疗方法。

Objective To explore the chnical value of ultrasound guided percutaneous needle aspiration and percutaneous catheter drainage for bacterial hver abscess. Methods To compare curative effect of 35 cases of bacterial hver abscess by percutaneous aspiration or drainage to 36 cases by the operation of incision and drainage. Results The curative ratio of percutaneous liver puncture was 91.7 % .While the operation was 94.4 %. There was no difference between two groups for the curative ratio （ P 〉 0.05）. But the time of inpatient , WBC resume to normal, abscess cavity lasting ,the charge and postoperative complications was less in percutaneous hver puncture（ P 〈 0.01）. The postoperative comphcations rate was significantly lower in percutaneous hver puncture drainage than that in traditional incisional drainage（ P 〈 0.05）. Conclusions Because percutaneous liver puncture is safer, less injure, more convenient and cheaper comparating to traditional incisional drainage, the therapeutic tool is first choice for bacterial hver abscess.