CAJ | 학술논문

目的：探讨经皮穿刺引流技术对细菌性肝脓肿治疗的临床价值。方法对30例细菌性肝脓肿患者在超声导引下进行穿刺与抽吸，在DSA导引下对脓肿进行置管引流，术后辅以适当的引流管冲洗。结果2例直径<4 cm脓肿单纯抽吸与冲洗，28例直径>4 cm者进行置管引流，无严重并发症发生；26例无恶性肿瘤患者均治愈，4例肿瘤患者中1例治愈，3例死亡。结论超声与DSA引导下经皮穿刺抽吸引流技术治疗细菌性肝脓肿操作简单，创伤小，安全性高、恢复快。
목적：탐토경피천자인류기술대세균성간농종치료적림상개치。방법대30례세균성간농종환자재초성도인하진행천자여추흡，재DSA도인하대농종진행치관인류，술후보이괄당적인류관충세。결과2례직경<4 cm농종단순추흡여충세，28례직경>4 cm자진행치관인류，무엄중병발증발생；26례무악성종류환자균치유，4례종류환자중1례치유，3례사망。결론초성여DSA인도하경피천자추흡인류기술치료세균성간농종조작간단，창상소，안전성고、회복쾌。
Objective To explore the clinical application of percutaneous puncture and drainage in treating pyogenic liver abscess. Methods A total of 30 patients with pyogenic liver abscess were treated with ultrasound-guided percutaneous puncture and aspiration of abscess cavity , which was followed by DSA-guided drainage tube placement together with proper washing of abscess cavity. Results Puncturing and flushing of abscess cavity was performed in two patients with < 4 cm liver abscess , and tube placement as well as drainage was carried out in the other 28 patients with > 4 cm liver abscess. No severe complications occurred. Complete cure was obtained in all the 26 patients who had no malignant tumors. Of the 4 patients with malignant tumor, cure obtained in one and death occurred in three. Conclusion Ultrasound-guided or DSA-guided percutaneous puncture and drainage therapy is technically simple, less invasive, highly safe and clinically effective treatment for pyogenic liver abscess.