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目的探讨细菌性肝脓肿的诊疗方法。方法回顾性分析经我院治疗的62例细菌性肝脓肿患者的临床资料,针对不同患者分别采取药物治疗10例,B超引导下穿刺抽脓及置管引流36例次,手术治疗16例次。结果 B超总诊断正确率100%,治愈60例,均无明显并发症,死亡2例。术后随访56例,3～12月均无复发。结论 B超是细菌性肝脓肿诊断的首选方法,B超引导下抽脓或置管引流是其治疗的主要方法,而外科手术仍起着重要作用。
Objective To investigate the diagnosis and treatment of bacterial liver abscess. Methods The clinical data of 62 patients with bacterial liver abscess treated in our hospital were analyzed retrospectively. Ten patients were treated with different drugs, 36 patients were treated by B-ultrasound, 36 patients were treated by catheter abscess, . Results The overall diagnosis rate of B-ultrasound was 100% and 60 cases were cured. There was no obvious complication and 2 deaths. 56 cases were followed up, no recurrence in 3 ~ 12 months. Conclusions B-ultrasound is the first choice for the diagnosis of bacterial liver abscess. B-ultrasound-guided pus drainage or catheter drainage is the main method of treatment. Surgery still plays an important role.