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彩超引导经皮肝穿刺引流治疗细菌性肝脓肿
引用本文:李晓云,吴纫,叶志,李俊辉,袁阳春.彩超引导经皮肝穿刺引流治疗细菌性肝脓肿[J].广州医学院学报,2011,39(6):45-46.
作者姓名:李晓云  吴纫  叶志  李俊辉  袁阳春
作者单位:广东省揭阳市人民医院超声科,广东揭阳,522000
摘    要: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.

关 键 词:细菌性肝脓肿  彩超引导  经皮肝穿刺

Color Doppler ultrasound to guide percutaneous transhepatic drainage for the treatment of pyogenic liver abscess
LI Xiao-yun , WU Ren , YE Zhi , LI Jun-hui , YUAN Yang-chun.Color Doppler ultrasound to guide percutaneous transhepatic drainage for the treatment of pyogenic liver abscess[J].Academic Journal of Guangzhou Medical College,2011,39(6):45-46.
Authors:LI Xiao-yun  WU Ren  YE Zhi  LI Jun-hui  YUAN Yang-chun
Institution:(Department of Ultrasound, Jieyang People's Hospital, Jieyang, Guangdong 522000, China)
Abstract: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.
Keywords:pyogenic liver abscess  color Doppler ultrasound guidance  percutaneous transhepaticpuncture
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