B超引导经皮肝穿刺置管引流治疗细菌性肝脓肿

Ultrasound—guided Percutaneous Puncture Drainage in Treatment of Bacterial Liver Abscess

目的:探讨B超引导经皮肝穿刺置管引流治疗细菌性肝脓肿的临床治疗价值。方法:2003年7月～2012年5月期间,对45例细菌性肝脓肿患者进行B超引导经皮肝穿刺置管引流术,肝右叶34例,肝左叶11例。结果:45例患者全部治愈,穿刺置管成功率达100%,无出血、胆漏及腹腔感染等并发症,留置引流管时间4～9天,穿刺置管后平均住院时间为6天。结论:B超引导经皮肝穿刺置管引流治疗细菌性肝脓肿具有效果显著、安全、操作简便、廉价、微创等优点,具有重要的临床应用价值,可作为临床治疗细菌性肝脓肿的首选方法。

Objective： To investigate the practical value of percutaneous catheterized drainage in the treatment of bacterial liver abscess by ultrasound--guided. Methods： From July 2003 to May 2012,45 cases of bacterial liver abscess were treated by percutaneous catheterized drainage under ultrasound--guided, including 34of liver abscess in right liver and 11 cases in left liver. Results：The result was satisfactory in 45 cases . Percutaneous catheterized drainage was performed successfully in all patients .No complications was found in the groups such as bleed ,bile leak and infection in abdominal cavity . the draining time were 4-9 days ,Mean hospitalization time was 6 days after draining. Conclusions：Percutaneous catheterized drainage under ultrasound--guided might he an effective ,safe ,simple ,less cost and slightly traumatic method, it should be the choice of treatment of bacterial liver abscess.