超声引导下经皮穿刺置管引流在肝脓肿治疗中的应甩

目的 探讨超声引导下经皮穿刺置管引流在肝脓肿治疗中的效果。 方法 回顾性分析我科在2010 年1 月- 2012 年12月超声引导下经皮穿刺置管引流治疗肝脓肿患者110 例（156 个病灶） 治疗情况及并发症发生情况。 结果 110 例（156 个病灶）均穿刺置管成功，置管成功率100%。其中86 例在穿刺置管引流后临床症状及体征消失，超声检查肝内脓腔消失，血常规白细胞总数和中性粒细胞数正常，痊愈率达到78.2%（86/110）。本组并发症发生率为4.55%（5/110）。 结论 超声引导下经皮穿刺置管引流治疗肝脓肿临床疗效可靠、创伤小、并发症少、复发率低，具备较高临床推广价值。

Application of ultrasound-guided percutaneous catheter drainage in treatment of liver abscess

Objective To study the effect of ultrasound-guided percutaneous catheter drainage on liver abscess. Methods Clinical data （treatment outcome and complication） about 110 patients with liver abscess （156 lesions） who underwent ultrasound-guided percutaneous catheter drainage in our department from January 2010 to December 2012 were retrospectively analyzed. Results Among the 110 patients who underwent ultrasound- guided percutaneous catheter drainage （with a success rate of 100%）, the clinical symptoms and signs and liver abscess disappeared, the white blood cells and neutrophils became normal in 86, with a curative rate of 78.2% （86/110）and a complication rate of 4.55% （5/110）. Conclusion Ultrasound-guided percutaneous catheter drainage is a safe treatment modality for liver abscess with minimal invasiveness, low complication and recurrence rate, and is thus worthy of wide application in clinical practice.