老年人糖尿病合并细菌性肝脓肿的超声介入治疗

目的 评价超声引导下穿刺抽脓及置管引流治疗老年人糖尿病合并细菌性肝脓肿的临床应用价值。方法 对46例老年糖尿病合并细菌性肝脓肿的患者进行经超声引导下脓汁抽吸、置管引流治疗。结果 46例患者穿刺抽脓及置管引流全部成功，治愈率93．5％（43／46），所有患者均未出现穿刺并发症。随后30、60、180d经门诊随访未见复发。结论 超声引导下介入治疗老年人糖尿病合并细菌性肝脓肿安全、有效，可以明显缩短疗程，可作为首选的治疗方法。

Interventional ultrasound in the treatment of geriatric diabetes mellitus complicated with bacterial liver abscess

Objective To evaluate the clinical application value of ultrasound guided percutaneous aspiration and drainage of bacterial liver abscess in geriatric diabetes mellitus patients. Methods Under the guidance of ultrasound, 46 cases of geriatric diabetes mellitus complicated with bacterial liver abscess underwent percutaneous aspiration and drainage of the abscess. Results Percutaneous aspiration and drainage was successfully accomplished in all the 46 cases, with curative rate of 93.5%(43/46). No pricking complication happened. All the 46 cases were followed-up for 1-6 months , no recurrence occurred. Conclusions Ultrasound guided percutaneous aspiration and drainage of bacterial liver abscess in diabetes mellitus patients is not only safe but also effective and can be used as the treatment of first choice.