超声引导下置中心静脉管治疗肝脓肿37例

37 cases of liver abscess through ultrasound-guided cardiac vein tube

目的超声引导下置中心静脉管在肝脓肿治疗中的运用价值。方法对37例肝脓肿大于3cm并有液化的患者,行经皮肝脓肿穿刺中心静脉管置管引流术。结果 37例细菌性肝脓肿患者穿刺术中及术后均未出现出血、胆漏、周围脏器损伤等并发症,治愈出院。结论中心静脉导管经皮肝脓肿穿刺引流可操作性强,创伤小,风险低,疗效确切,并发症少,在能开展上腹部手术的基层医院应该得到广泛应用。

Objective To evaluate the value of hepatapostema therapy by ultrasound-guided internal jugular vein cannulation. Methods Central venous catheter drainage for liver abscess was treated under the guidance of ultrasound in 37 patients, which liver abscess was greater than three centimeters and combining with liquefaction. Results Bleeding, bile leakage, damage of surrounding organs and other complications were not found during and after puncture operation of 37 patients with bacterial liver abscess. And all cases fully recovered. Conclusion Central venous catheter drainage under ultrasound guidance in treating liver abscess had such advantages as simple operation, small surgical wound, lower expenses of hospitalization,confirmed curative effect and fewer complications, it also could be widely used in basic-level hospitals which have the capable to execute abdominal surgery.