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超声引导下经皮肝穿刺置管引流治疗肝脓肿的临床应用
引用本文:屈建锋,陈克河,康继厚,崔友福,刘芬儒,罗海燕.超声引导下经皮肝穿刺置管引流治疗肝脓肿的临床应用[J].河南职工医学院学报,2005,17(1):17-19.
作者姓名:屈建锋  陈克河  康继厚  崔友福  刘芬儒  罗海燕
作者单位:信阳市中心医院超声科,河南,信阳,464000;信阳市中心医院消化内科,河南,信阳,464000;商城县人民医院外科,河南,商城,464003
摘    要:目的探讨超声引导下经皮肝穿刺置管引流治疗肝脓肿的临床应用价值。方法38例细菌性肝脓肿患者,采用普通B超探头体表十字方法定位,按Seldinger氏法经皮肝穿刺置管引流。结果超声诊断确诊率、抽脓成功率、治愈率均为100%(38/38)。其中1次穿刺置管引流成功率97.4%(37/38);无1例中转手术,出现并发症或死亡。结论超声引导下经皮肝穿刺置管引流治疗肝脓肿疗效显著,建议作为肝脓肿首选治疗手段。

关 键 词:超声导向  经皮肝穿刺  置管引流术  肝脓肿
文章编号:1008-9276(2005)01-0017-03
修稿时间:2004年10月19

Clinical Application of Percutaneous Transhepatic Drainge for Liver Abscess Guided under Ultrasonography
QU Jian-feng,CHEN Ke-he,KANG Ji-hou,CUI You-fu,LIU Feng-ru,LUO Hai-yan.Clinical Application of Percutaneous Transhepatic Drainge for Liver Abscess Guided under Ultrasonography[J].Journal of Henan Medical College For Staff and Workers,2005,17(1):17-19.
Authors:QU Jian-feng  CHEN Ke-he  KANG Ji-hou  CUI You-fu  LIU Feng-ru  LUO Hai-yan
Abstract:Objective To investigate the clinical application of percutaneous transhepatic drainge for liver obscess guided under ultrasonography.Methods 38 patients with bacterial hepatic abscess,located by common B ultrasonography probe on body surface,were treated with Seldinger's percutaneous transhepatic drainge.Results The rates of ultrasonography diagnosis,drainge and cure were 100%(38/38).Among these cases,the rate of percutaneous transhepatic only once was 97.4%(37/38).None of them turned to the surgical operation,appeared complications or died.Conclusion Ultrasonography percutaneous transhepatic drainge is highly effective to treat liver abscess.It can be used as the first selected method to treat liver abscess.
Keywords:ultrasonography guided  percutaneous transhepatic  drainge  liver abscess
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