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目的提高CT导引下对肝门区脓肿经皮穿刺置管抽吸冲洗治疗的临床应用。方法使用18G一次性留置深静脉针在CT导引下对10例经临床诊断和影像资料证实的肝门区脓肿进行置管、抽吸、冲洗和局部应用抗生素。结果CT导引下穿刺置管抽吸成功率为100%。其中5例穿刺一次,3例穿刺两次,2例穿刺三次。均获得临床治愈,出院3个月后B超复查仅3例患者残留有小的液性暗区。结论CT导引下经皮穿刺对肝脓肿置管抽吸冲洗定位精确,操作简便,尤其是治疗肝门区脓肿首选可靠的治疗方法。
Objective To improve the clinical application of CT-guided percutaneous puncture and suction catheter flushing for treatment of hilar abscess. Methods Ten cases of hilar abscess confirmed by clinical diagnosis and imaging data were catheterized, aspirated, washed and topically applied with antibiotics under the guidance of CT guided by 18G disposable indwelling deep venous needle. Results CT guided puncture catheter suction success rate was 100%. Five of them were punctured once, three punctured twice and two punctured three times. Were clinically cured, 3 months after discharge B ultrasound review only 3 patients left a small liquid dark area. Conclusion CT-guided percutaneous puncture of liver abscess catheter suction rinse precise positioning, easy to operate, especially for the treatment of hilar area abscess preferred reliable treatment.