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目的:探讨B超引导经皮肝穿刺置管引流治疗细菌性肝脓肿的临床治疗价值。方法:2003年7月～2012年5月期间,对45例细菌性肝脓肿患者进行B超引导经皮肝穿刺置管引流术,肝右叶34例,肝左叶11例。结果:45例患者全部治愈,穿刺置管成功率达100%,无出血、胆漏及腹腔感染等并发症,留置引流管时间4～9天,穿刺置管后平均住院时间为6天。结论:B超引导经皮肝穿刺置管引流治疗细菌性肝脓肿具有效果显著、安全、操作简便、廉价、微创等优点,具有重要的临床应用价值,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 B-guided percutaneous transhepatic catheterization in the treatment of bacterial liver abscess. Methods: From July 2003 to May 2012, 45 patients with bacterial liver abscess underwent B-guided percutaneous transhepatic catheterization. There were 34 cases of right lobe and 11 cases of left lobe of liver. Results: All 45 patients were cured. The successful rate of puncture and catheterization was 100%. No complications such as bleeding, bile leakage and abdominal infection were observed. The time of indwelling drainage tube was 4 to 9 days. The average length of hospital stay after catheterization was 6 days. CONCLUSION: B-guided percutaneous transhepatic catheterization for the treatment of bacterial liver abscess has the advantages of safety, simple operation, low cost, minimal invasion and so on. It has important clinical value and can be used as the first choice for clinical treatment of bacterial liver abscess method.