CT引导下经皮肝脓肿穿刺置管引流术的应用

The Application of Percutaneous Puncture and Catheter Drainage under CT Guidance in Treating Liver Abscess

目的观察CT引导下经皮肝脓肿穿刺置管引流治疗肝脓肿的疗效和临床应用价值。方法对临床诊断明确并经实验室及影像学检查证实的36例患者在CT引导下经皮肝脓肿穿刺引流,术中置管,术后定时冲洗并积极进行有效的抗生素治疗。结果 36例肝脓肿患者经皮穿刺置管引流术治疗后,临床症状消失,无并发症发生,经B型超声或CT复查脓肿消失,全部治愈出院。结论 CT引导下经皮肝脓肿穿刺置管引流术具有操作简便、手术创伤小、住院费用低、疗效肯定等优点,是临床治疗肝脓肿的有效方法之一。

Objective To study the curative effect and clinical application value of percutaneous puncture and catheter drainage under CT guidance in treating liver abscess.Methods 36 cases with liver abscess clearly diagnosed clinically and conformed by lab tests and imaging examinations received percutaneous puncture and catheter drainage under CT guidance,and regular tube douching and antibiotic treatment were applied after operation.Result After operation,the clinical symptoms in the 36 cases all disappeared,no complications occurred;ultrasound or CT review showed all cases fully recovered.Conclusions Percutaneous puncture and catheter drainage under CT guidance in treating liver abscess is of such advantages as： simple operation,small surgical wound,lower expenses of hospitalization and confirmed curative effect,it is one of the effective methods in clinic to treat abscess.