细菌性肝脓肿的放射介入治疗

Radiological interventional treatment for pyogenic liver abscesses

目的 探讨放射介入治疗 (或联合经皮肝脓肿穿刺引流 )治疗细菌性肝脓肿的效果。 方法 回顾性分析 65例细菌性肝脓肿病人 (其中 2例行介入治疗 )的临床资料。 结果 介入组无 1例需中转手术引流 ,均痊愈出院 ;对照组 3 9例中有 2例因脓肿导管引流不畅需行手术引流 ,3例死于多脏器功能衰竭 ,病死率 (7.7% )高于介入组 ,但差异无显著性 (P >0 .0 5 ) ;介入组病人的退热时间和脓肿消退时间均显著短于对照组 (均P <0 .0 5 )。 结论 介入治疗细菌性肝脓肿的效果优于传统治疗方法。

Objective To evaluate the efficacy of radiological interventional treatments (or combining with percutaneous catheter drainage)for pyogenic liver abscess. Method The clinical data of 65 patients with pyogenic liver abscesses were analyzed retrospectively. Results Of the 65 cases, 26 cases underwent radiologic interventional (4 cases) or double interventional treatments(22 cases) as the interventional group(Group A), and the remaining 39 patients did not undergo radiologic intervention as the control group(Group B). All 26 patients in Groug A was cured and no patient required subsequent surgical drainage. Two out of the 39 patients in Group B performed subsequent surgical drainage ; while three patients died of multiple system organ failure.The mortality (7.7%)in Group B was higher than those in Group A, but there was no significant difference between the 2 groups(P>0.05). The time for fever reduced to normal level and for abscesses disappeared in Group A were significantly shorter than those in Group B(all P<0.05). Conclusions Double interventional treatment for liver abscesses is more effective than conventional treatments .