细菌性肝脓肿的放射介入和双介入治疗

目的: 探讨放射介入和双介入治疗细菌性肝脓肿的临床疗效. 方法: 回顾分析51例细菌性肝脓肿病人(其中12例行放射介入或双介入治疗)的临床资料. 结果: 介入组12例病人无1例需中转手术引流,均痊愈出院;对照组39例中,有2例因脓肿导管引流不畅需行手术引流,39例中死亡3例,均死于多脏器功能衰竭,病死率为7.7%(3/39),两组差异无显著性(P>0.05);两组病人的退热时间差异无显著性(P>0.05),但介入组脓肿消退时间显著短于对照组(P<0.01). 结论: 放射介入治疗联合经皮肝脓肿穿刺引流,即双介入治疗细菌性肝脓肿具有良好的疗效.

The radiologic interventional and double interventi onal treatments for pyogenic liver abscesses

Objective:To evaluate the efficacy of radiologic interventional and double interventional treatments for pyogenic liver abscess(percutaneous catheter drainage combined with regional intra arterial antibiotic infusion).Methods:Fifty one patients with pyogenic liver abscesses were analyzed retrospectively. Out of the 51 cases, 12 cases underwent radiologic interventional or double interventional treatment and the remaining 39 patients were as the control group.Results:All 12 patients in the interventional group were cured and no patient required subsequent surgical drainage. Two out of 39 patients in the control group needed subsequent surgical drainage; three patients died of multisystem organ failure, and the mortality was 7.7%(3/39). There was no significant difference between two groups(P>0.05). The time for fever to return to normal had no significant difference between two groups(P>0.05), but the time for abscesses to disappear was significantly shorter in the interventional group than that of the control group(P<0.01).Conclusion:The double interventional treatment is more effective than conventional ones in the treatment of liver abscesses.