【摘 要】
：
目的 探讨细菌性肝脓肿的诊疗经验.方法 回顾性分析2008年1月至2011年12月本院收治的99例肝脓肿患者临床资料.按治疗方法分成经皮肝穿刺组(20例)、手术治疗组(30例)及单纯药
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目的 探讨细菌性肝脓肿的诊疗经验.方法 回顾性分析2008年1月至2011年12月本院收治的99例肝脓肿患者临床资料.按治疗方法分成经皮肝穿刺组(20例)、手术治疗组(30例)及单纯药物治疗组(49例),比较三组患者的并发症发生率、病死率、治愈率以及平均住院天数.结果 单纯药物治疗组脓肿直径要明显小于穿刺组及手术组(P＜ 0.05),单纯药物治疗组住院天数(14.7±10.8)d明显低于手术组(26.2±11.9)d及穿刺组(24.2±14.1)d,差异有统计学意义(P＜0.05).手术组并发症发生率明显高于单纯药物治疗组及穿刺组,差异有统计学意义(P＜ 0.05).结论 对于较小的细菌性肝脓肿,单纯药物治疗逐渐趋于主要治疗方式,但对于直径较大的脓肿,穿刺治疗要明显优于手术治疗.
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