彩超引导经皮肝穿刺引流治疗细菌性肝脓肿

目的：探讨彩超引导经皮肝穿刺引流治疗细菌性肝脓肿的临床疗效.方法：回顾性分析2009年1月至2011年6月广东省揭阳市人民医院应用彩超引导经皮肝穿刺引流治疗25例细菌性肝脓肿患者的临床资料.结果：25例患者采用单纯穿刺抽脓9例,其中6例仅进行一次穿刺抽液治疗、3例需进行第二次穿刺抽液治疗;置管引流16例,留置引流管（15±3）d.25例患者无明显并发症,均痊愈出院,平均住院时间（18±6）d.结论：彩超引导经皮肝穿刺引流操作简便、安全可靠、疗效显著、患者痛苦小,是治疗细菌性肝脓肿的理想方法.

Color Doppler ultrasound to guide percutaneous transhepatic drainage for the treatment of pyogenic liver abscess

Objective： To investigate the clinical efficacy of color Doppler ultrasound in guiding percutaneous transbepatic drainage for treatment of pyogenic liver abscess. Methods： A retrospective analysis was performed on the clinical data from 25 patients who were registered to Jieyang People＇s Hospital and received color Doppler ultrasound guided percutaneous drainage as a treatment for pyogenie liver abscess between January 2009 and June 2011. Results： Of the 25 patients, 9 received puncture drainage of pus （including single puncture in 6 cases and repeated puncture in 3 ） , and 16 received drainage of pus with indwelling of a tube for a mean of 15 ~ 3 days. No significant complications were reported in the 25 patients. All of them fully recovered, after a mean hospital stay of 18 ＋ 6 days. Conclusion： Color Doppler guided percutaneous transhepatie puncture and drainage appears easy to use, safe, reliable and less painful, therefore can be an ideal treatment for pyogenic liver abscess.