超声引导下置管引流与穿刺抽吸在肝脓肿治疗中的比较

Compare Catheter Drainage with Needle Aspiration in Percutaneous Treatment of Liver Abscesses

目的:比较超声引导下穿刺抽吸与置管引流在肝脓肿治疗中优劣。方法:33例置管引流与87例穿刺抽吸两组患者,术后比较体温及白细胞下降至正常的时间,平均住院时间以及并发症。两种方法均同时采用静脉内给抗生素治疗。结果:两组方法在疗效及安全性上无显著差异(包括体温及白细胞降至正常时间,平均住院时间以及并发症)。结论:超声引导下穿刺抽吸或置管引流在治疗肝脓肿的疗效与安全性均无显著差异。

Objective：To compare the therapeutic effectiveness of catheter drainage and needle aspiration in percutaneous treatment of liver abscesses. Methods：Thirty-three patients underwent catheter drainage and eighty-seven patients underwent needle aspiration, patients were followed up to assess the outcome of the percutaneous treatment, including time for fever to subside, time for leucocytosis to become normalized, length of hospitalization, and complications. All patients were treated with intravenous antibiotics simultaneously. Results： Needle aspiration was as effective and safe as catheter drainage in treatment of liver abscess. Conclusion：This study suggests that catheter drainage and needle aspiration have same therapeutic effectiveness in treatment of liver abscess.