中国冶金工业医学杂志

超声联合DSA引导下经皮穿刺置管引流术治疗肝脓肿的临床应用价值

作者：王潇梁茂全崔铉默

单位：鞍山市中心医院辽宁鞍山 114001

关键词：超声引导肝脓肿留置引流

分类号：R 657.3＋3

出版年,卷(期):页码：2018,35(6):625-626

摘要：

摘要：目的探讨超声联合数字减影血管造影（DSA）引导下经皮穿刺置管引流术治疗肝脓肿的临床应用价值。方法回顾性收集整理2016年8月至2017年12月间符合纳入标准的79例肝脓肿患者，所有病例均接受超声联合DSA引导下经皮穿刺置管引流术并观察住院时间、引流时间、手术时间、治愈率及术后并发症发生率。结果超声联合DSA引导下经皮穿刺置管引流术治疗肝脓肿技术成功率为100％；中位住院时间为8天；中位引流管留置时间24天；中位手术操作时间13分钟；引流术后出现穿刺点周围轻度感染3例，局限性腹膜炎1例。1、2个月后复查CT观察肝脓肿治愈率分别为96.20%（76/79）及100.00%（79/79）。结论超声联合DSA引导下经皮穿刺置管引流术治疗肝脓肿操作简单，安全性高，并发症少且轻，治愈率高，住院时间短。
关键词：超声引导；肝脓肿；留置引流

Anshan Central Hospital，Anshan ,Liaoning 114001, China
Abstract：Objective To investigate the clinical value of ultrasound combined with digital subtraction angiography （DSA） guided percutaneous catheterization drainage for the treatment of liver abscess. Methods 79 patients with liver abscess who met the inclusion criteria were collected retrospectively from August 2016 to December 2017, underwent ultrasound combined with DSA-guided percutaneous catheterization drainage and hospitalization time, drainage time, and operation time, the cure rate and incidence of postoperative complications were observed. Results The success rate of ultrasound combined with DSA-guided percutaneous catheter drainage for liver abscess was 100%; median hospitalization time was 8 days; median drainage time was 24 days; median operation time was 13 minutes; There were 3 cases of mild infection around the puncture site and 1 case of localized peritonitis after drainage. The curative rate of liver abscess after one month and 2 months was 96.20% （76/79） and 100% （79/79）. Conclusion Ultrasound combined with DSA guided percutaneous catheterization drainage for liver abscess is simple operation, high safety, low complication, high cure rate and short hospitalization time.
Key Words：Ultrasound-guided; Liver abscess; Catheter drainage

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参考文献：

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