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目的:探讨超声引导穿刺抽吸和/或置管引流治疗细菌性肝脓肿的临床应用价值。方法:对细菌性肝脓肿患者39例51个病灶实施超声引导下经皮穿刺,<5cm的肝脓肿直接穿刺抽吸治疗,>5cm的肝脓肿置管引流。结果:27例脓肿<5cm者,1次抽吸治愈率85.2%(23/27),2次抽吸治愈率占14.8%(4/27)。12例脓肿>5cm者行置管引流治疗,患者均在穿刺引流24～48h后体温降至正常,临床症状改善。结论:超声引导穿刺置管引流治疗细菌性肝脓肿安全、简便、有效,可作为临床治疗细菌性肝脓肿的首选方法。
Objective: To investigate the clinical value of ultrasound guided aspiration and / or catheter drainage in the treatment of bacterial liver abscess. Methods: 39 patients with bacterial liver abscess 51 lesions under the guidance of ultrasound-guided percutaneous puncture, <5cm of liver abscess directly aspiration therapy,> 5cm of liver abscess catheter drainage. Results: In 27 cases of abscess <5 cm, the cure rate of one time aspiration was 85.2% (23/27), and the rate of two aspiration was 14.8% (4/27). 12 cases of abscess> 5cm were treated with catheter drainage, the patients were in the puncture and drainage 24-48h after the body temperature dropped to normal, clinical symptoms improved. Conclusion: Ultrasound-guided catheterization for the treatment of bacterial liver abscess is safe, simple and effective, and can be used as the first choice for clinical treatment of bacterial liver abscess.