细菌性肝脓肿及膈下脓肿的超声引导穿刺治疗

对49例细菌性肝脓肿及膈下脓肿患者在超声直视引导下行穿刺抽脓；对脓液黏稠正有坏死组织块、抽脓不彻底的患者置管引流，每日冲洗。有48．98％(24／49)的患者行1次抽脓治疗，24、49％(12／49)行2次，8．16％(4／49)行3次，4．08％(2／49)行4次穿刺抽脓；另14．29％(7／49)行置管引流。所有患者均治愈出院，治疗后1、3、6个月随访肝内无脓腔。这表明细菌性肝脓肿及膈下脓肿的超声引导穿刺抽脓、置管引流是一种有效、可靠的治疗方法。

Ultrasound-guided percutaneous needle aspiration and catheter drainage for liver bacterial abscess and subphrenic abscess

To review the results of ultrasound-guided percutaneous needle aspiration and catheter drainage in the treatment of liver bacterial abscess and subphrenic abscess. Liver abscess and subphrenic abscess were treated with ultrasound-guided percutaneous needle aspiration for purulence liquid. In the case of thick pus with necrotic tissues or incomplete aspiration, catheter drainage was indicated,and these abscess were rinsed everyday. 48. 98%(24/49) cases were treated by ultrasound-guided percutaneous needle aspiration for once,24. 49%(12/49) cases for twice,8. 16%(4/49) cases for 3 times,4. 08% (2/49) cases for 4 times. The other 14. 29% (7/49) cases were treated by ultrasound-guided percutaneous catheter drainage. All patients were discharged from hospital after recovery. There was no pus cavity in liver and subphrenic space upon 1,3,6 months. Needle aspiration and catheter drainage with sonographic guidance are safe and effective in the treatment of pyogenic liver bacterial abscess and subphrenic abscess.