小儿细菌性肝脓肿的诊断及治疗

Diagnosis and Treatment of Bacterial Hepatic Abscess in Children

目的：为了提高小儿细菌性肝脓肿的疗效。方法：对３３例小儿细菌性肝脓肿进行回顾性分析。男２４例，女９例，平均年龄６岁。结果：右肝脓肿２４例，左肝脓肿９例，脓腔最大１５ｃｍ×１２ｃｍ×１０ｃｍ，最小２．５ｃｍ×２．０ｃｍ×１．５ｃｍ。非手术治疗１８例，占５４．５％；经皮穿刺置管疗法６例；经腹行脓肿切开引流术９例。全部病例均治愈。结论：１．肝脓肿的诊断除临床表现外，首选彩超；２．

Objective: To improve the diagnosis and treatment of bacterial hepatic abscess in children. Methods: The records of 33 children (male 24, female 9, mean age 6 years) with bacterial hepatic abscesses were studied retrospectively. The abscess located in the right lobe in 24 cases and in the left in 9. The size of the abscess ranged from 2.5 cm×2.0 cm×1.5 cm to 15 cm×12 cm×10 cm. Results: Eighteen patients (54.5%) had conservative treatment, 6 underwent percutaneous drainage and 9 (27.3%) underwent operative drainage. All children recovered uneventfully. Conclusions: Ultrasonography is a preferable modality of diagnosis. Hepatic abscesses should be treated according to the duration, size and location.