论文部分内容阅读
目的评价计算机断层摄影(computed tomography,CT)引导下经皮穿刺引流治疗细菌性肝脓肿的安全性和有效性。方法回顾性分析2004年1月至2010年12月,54例在本院行CT引导下细菌性肝脓肿穿刺置管引流患者的临床及影像学资料。结果 54例肝脓肿患者中37例为单一病灶,17例为多发病灶;脓肿平均最大径为(10·5±5·6)cm;穿刺技术成功率为100%,无严重并发症发生,全部患者穿刺引流治疗后症状得到改善。41例患者在住院期间拔除外引流管,平均置管时间(20·6±7·8)d;另13例患者症状好转后,带管出院。结论 CT引导下经皮穿刺引流治疗细菌性肝脓肿安全而有效。
Objective To evaluate the safety and efficacy of percutaneous puncture and drainage in the treatment of bacterial liver abscess guided by computed tomography (CT). Methods Retrospective analysis of clinical and imaging data of 54 patients undergoing CT-guided bacterial liver abscess drainage and catheter drainage in our hospital from January 2004 to December 2010 was retrospectively analyzed. Results Among the 54 patients with liver abscess, 37 were single lesions and 17 were multiple lesions. The average maximum diameter of abscess was (10 · 5 ± 5 · 6) cm. The successful rate of puncture technique was 100%. No serious complications occurred. All Patients have improved symptoms after puncture and drainage. In the 41 patients, the external drainage tube was removed during the hospitalization and the average catheterization time was 20.6 ± 7.8 days. The other 13 patients were discharged after the symptoms improved. Conclusion CT guided percutaneous drainage of bacterial liver abscess safe and effective.