协和医学杂志

2011, v.2(03) 242-245

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计算机断层摄影引导下经皮细菌性肝脓肿穿刺置管引流
Computed Tomography Guided Percutaneous Bacterial Liver Abscess Drainage

王志伟;石海峰;孙昊;周慷;李晓光;潘杰;张晓波;刘巍;杨宁;金征宇;
WANG Zhi-wei, SHI Hai-feng, SUN Hao, ZHOU Kang, LI Xiao-guang, PAN Jie, ZHANG Xiao-bo, LIU Wei, YANG Ning, JIN Zheng-yu Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

摘要(Abstract):

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 effectiveness of computed tomography (CT)-guided percutaneous drainage of bacterial liver abscesses. Methods CT-guided percutaneous abscess drainages were performed in 54 patients with bacterial liver abscesses in our hospital between January 2004 and December 2010. The clinical data of these patients were retrospectively reviewed. Results Of these 54 patients, 37 had single abscesses and 17 had multiple abscesses. The mean diameter of abscesses was (10.5±5.6) cm. The technical success rate of drainage was 100%. No procedure-related major complications was noted. Symptoms were improved after drainages in all patients. The mean duration of catheterization was (20.6±7.8) days for 41 patients, and 13 patients were discharged from hospital with catheters. Conclusion CT-guided percutaneous drainage is a safe and effective procedure in the treatment of bacterial liver abscess.

关键词(KeyWords): 细菌性肝脓肿;断层摄影术,X线计算机;经皮引流
bacterial liver abscess; tomography, X-ray computed; percutaneous drainage

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作者(Author): 王志伟;石海峰;孙昊;周慷;李晓光;潘杰;张晓波;刘巍;杨宁;金征宇;
WANG Zhi-wei, SHI Hai-feng, SUN Hao, ZHOU Kang, LI Xiao-guang, PAN Jie, ZHANG Xiao-bo, LIU Wei, YANG Ning, JIN Zheng-yu Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

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