超声引导下经皮肝穿刺置管引流术治疗细菌性肝脓肿临床价值分析

目的：探讨B超引导下经皮肝穿刺置管引流术治疗细菌性肝脓肿的临床价值。方法：采用B超介导下经皮肝穿刺置管引流治疗肝脓肿30例,其中,单发脓肿24例（80.00%）,2个以上多发脓肿6例（20.00%）。脓肿部位发生在肝右叶20例（66.67%）,肝左叶6例（20.00%）,左右肝叶4例（13.33%）。结果：患者在抽吸、置管后平均3d体温恢复正常且症状消失,引流量逐渐减少和消失,B超检查证实脓腔萎陷及无脓液。结论：B超介导下经皮肝穿刺置管引流术是一种操作简便的肝脓肿引流方法,医疗费用低,成为肝脓肿的首选治疗方法。

Clinical value of placed tube drainage under ultrasound guided transpercuta-neous

Objective:To investigate the clinical value of placed tube drainage under ultrasound guided transpercutaneous hepatic puncture for the treatment of bacterial liver abscess. Methods: Placed tube drainage under ultrasound guided transpercutaneous hepatic puncture was used for the treatment of liver abscess in 30 cases. Among them ,single abscess was in 24 cases (80.00%) and multiple abscess was in 6 cases (20.00%).Abscess site was as follows: right lobe of liver was 20 cases(66.67%),left lobe of liver was 6 cases(20.00%), left and right robe of liver was 4 cases(13.33%). Results: The patients temperature was restored to normal and symptoms were disappeared after placed tube average 3 days. The drainage volume was reduced gradually or disappeared. Collapse of vomica and no pus were confirmed by ultrasonography. Conclusion: Placed tube drainage under ultrasound guided transpercutaneous hepatic puncture is a kind of safe, cheap and simplified manipulated method for the treatment of liver abscess. So it has become a kind of therapeutic method of first choice for liver abscess.