介入超声在肝肾脓肿诊治中的应用

Application of Interventional Ultrasonic in the Diagnosis and Treatment on the Liver and Kidney Abscess

目的:评价介入超声在肝、肾脓肿诊断和治疗中的临床应用价值。方法:采用实时超声显像仪及其普通探头,大块敷料多层包裹穿刺针直接探查导向穿刺,诊治肝、肾脓肿76例。结果:全部患者经超声导向穿刺抽出脓液而确诊并经冲洗、注药治疗而获痊愈。结论:介入性超声不但可安全准确地直接从肝、肾液性病变中获得抽取液从而对病变作出定性诊断,并且依据对抽取液的细菌学检查结果而选择有效的治疗用药。同时它具有操作简单、方便、经济、微创、无痛苦等优点,做到了排脓、冲洗、局部用药与全身用药密切结合,从而明显缩短了治愈时间,确保了治疗效果。与传统的手术治疗方法相比其最大优点在于它是一种无污染的治疗手段。因此,介入性超声可作为肝、肾脓肿的首选诊治方法,应在临床推广使用。

Objective To evaluate the value of interventional ultrasonic in the clinic diagnosis and treatment on the liver and kidney abscess.Methods by real-time ultrasonoscopy instrument,general probe as well as multiple coat packed puncture needle,76 liver and kidney abscess cases are diagnosed and treated.Results All patients are properly diagnosed after puncture and abstraction,and cured after purification and medication.Conclusion By interventional ultrasonic the fluid Can be gained from liver and kidney abscess,by which qualitative diagnosis can be made to the pathological changes.Further more,proper medicine can be chosen with the inspection results of abstraction bacteria.The interventional ultrasonic method has many pre- dominance,such as simple,convenience,economical,tiny trauma and painless,etc.As this method implemented the conjunction of drainage,purification,partial and total medication,it saves the time and ensures the treatment effectiveness.Thereby this method is the first choice in the diagnosis and treatment on the liver and kidney abscess,which should be generalized in the clinic use.