超声引导下经皮穿刺留置中心静脉导管引流并反复无水乙醇硬化联合抗生素冲洗治疗单纯性肝脓肿

目的 探讨彩色多普勒超声引导下经皮穿刺留置中心静脉导管引流并反复无水乙醇硬化联合抗生素冲洗治疗单纯性肝脓肿的治疗方法和临床应用价值.方法 对65例单纯性肝囊肿患者进行彩色多普勒超声引导经皮穿刺留置中心静脉导管引流并反复无水乙醇硬化联合抗生素冲洗治疗.结果 所有患者均一次性穿刺成功,成功率为100%,术后均放置中心静脉导管,经引流管共注射无水乙醇及抗生素各670次,平均每次注射保留时间约6.3 min.随访0.5~2.0年,26个脓肿均治愈,治愈率为100%,均未出现出血与感染性休克等并发症.结论 彩色多普勒超声引导下经皮穿刺留置中心静脉导管引流并反复无水乙醇硬化联合抗生素冲洗治疗单纯性肝脓肿,成功率和治愈率高,并发症少.

Color doppler ultrasound guided percutaneous puncture catheterization drainage and absolute ethanol combined with antibiotics in treatment of simple liver abscesses

Objective To investigate the effect and safety of the treatment of simple liver abscesses with color doppler ultrasound guided percutaneous puncture catheterization drainage and absolute ethanol combined with antibiotics. Methods Sixty- five cases with simple liver abscesses were treated with color doppler ultrasound guided percutaneous puncture catheterization drainage and absolute ethanol combined with injiecting antibiotics. Results Sixty-five patients simple liver abscesses were detec- ted in the 65 patients. Puncture was finished and the success rate was 100%. All patients were put central venous catheter. Ab- solute ethanol and antibiotics was all injected 670 times through the drainage tube, respectively. The average times of injection was 6. 3 min. Follow-up 0. 5 to 2 years. All parapelvic cysts were disappeared, the cure rate was 100% , and the complications such as hemorrhage and infection were not found. Conclusion Color doppler ultrasound guided percutaneous puncture catheterization drainage and absolute ethanol combined with antibiotics is an effective and safe treatment method for patients with simple liver abscesses.