B超引导下穿刺置管引流术治疗肝脓肿22例临床分析

目的 探讨超声引导下经皮肝穿刺抽脓或置管引流在细菌性肝脓肿的临床应用价值。方法对22例细菌性肝脓肿通过超声引导确定后进行穿刺抽脓或置管引流，其中4例行穿刺抽脓1次，21例行置管引流。结果22例穿刺、置管全部获成功，平均疗程20d（10～42d）。术后无腹腔内出血、气胸、脓胸及严重腹腔感染等并发症。结论B超引导下肝脓肿穿刺置管引流术具有简便、安全、住院时间短、费用少，并发症低的优点，可用于治疗大多数肝脓肿。

Puncture and indewelling catheter drainage under ultrasound guided for the treatment of liver abscess (Analysis of22 cases)

Objective To explore the clinical value of ultrasound-guided percutaneous aspiration and drainage for bacterial liver abscess.Methods Under the guidance of uhrasonography,15 Pantients with bacterial hepatic abscess underwent pereutaneous aspiration or drainage.Among them,4 were given percutaneous aspiration for one times,and 18 underwent pereutaneous drainage.Results Percutaneous aspiration or drainage was successfully accomplished in all the patients,The hospital stay was 10～42 days(mean 20 days),No intraabdominal bleeding,pneumothorax,empyema and severe abdominal infection were found after operation.Conclusion This method possesses simple.safe.shorter hospitalization.less cast and low complications.It can use to treat the most of liver abscess.