超声引导下经皮穿刺置管引流在肝脓肿治疗中的应用

Application of ultrasound-guided percutaneous catheter drainage in treatment of liver abscess

  • 摘要: 目的 探讨超声引导下经皮穿刺置管引流在肝脓肿治疗中的效果。 方法 回顾性分析我科在2010年1月- 2012年12月超声引导下经皮穿刺置管引流治疗肝脓肿患者110例(156个病灶)治疗情况及并发症发生情况。 结果 110例(156个病灶)均穿刺置管成功,置管成功率100%。其中86例在穿刺置管引流后临床症状及体征消失,超声检查肝内脓腔消失,血常规白细胞总数和中性粒细胞数正常,痊愈率达到78.2%(86/110)。本组并发症发生率为4.55%(5/110)。 结论 超声引导下经皮穿刺置管引流治疗肝脓肿临床疗效可靠、创伤小、并发症少、复发率低,具备较高临床推广价值。

     

    Abstract: Objective To study the effect of ultrasound-guided percutaneous catheter drainage on liver abscess. Methods Clinical data (treatment outcome and complication) about 110 patients with liver abscess (156 lesions) who underwent ultrasound-guided percutaneous catheter drainage in our department from January 2010 to December 2012 were retrospectively analyzed. Results Among the 110 patients who underwent ultrasound- guided percutaneous catheter drainage (with a success rate of 100%), the clinical symptoms and signs and liver abscess disappeared, the white blood cells and neutrophils became normal in 86, with a curative rate of 78.2% (86/110)and a complication rate of 4.55% (5/110). Conclusion Ultrasound-guided percutaneous catheter drainage is a safe treatment modality for liver abscess with minimal invasiveness, low complication and recurrence rate, and is thus worthy of wide application in clinical practice.

     

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