医学影像学杂志
醫學影像學雜誌
의학영상학잡지
JOURNAL OF MEDICAL IMAGING
2015年
4期
658-661
,共4页
细菌性肝脓肿%超声检查%介入治疗
細菌性肝膿腫%超聲檢查%介入治療
세균성간농종%초성검사%개입치료
Bacterial liver abscess%Ultrasound%Performance%Intervention
目的：探讨细菌性肝脓肿的超声引导下介入治疗效果。方法对在我院接受诊断与治疗的细菌性肝脓肿96患者进行超声检查及超声引导介入治疗。结果典型的超声表现为肝内不规则的圆形无回声或低回声包块，包膜光滑完整。脓腔的平均直径为（8．12±4．31）cm ，其中脓肿直径＜5cm 51例，脓肿直径≥5cm 45例。细针抽吸组和置管引流组中脓肿直径≥5cm患者经过治疗后随访3个月，其中细针抽吸组中治愈21例，治愈率为95．45％；置管引流组中治愈22例，治愈率为95．65％；经统计学分析发现细针抽吸组和置管引流组中脓肿直径≥5cm患者的治愈率比较无明显差异。细针抽吸组和置管引流组中脓肿直径＜5cm 患者经过治疗后随访3个月，其中细针抽吸组中治愈22例，治愈率为100.00％；置管引流组中治愈23例，治愈率为100．00％；经统计学分析发现细针抽吸组和置管引流组中脓肿直径＜5cm患者的治愈率比较无明显差异。结论超声引导经皮穿刺组织活检能快速明确肝脓肿诊断，对于直径≥5cm直径＜5cm的细菌性肝脓肿应分别首选超声引导下经皮肝穿刺置管引流术、细针抽吸术等介入性治疗方法简单、安全可靠。
目的：探討細菌性肝膿腫的超聲引導下介入治療效果。方法對在我院接受診斷與治療的細菌性肝膿腫96患者進行超聲檢查及超聲引導介入治療。結果典型的超聲錶現為肝內不規則的圓形無迴聲或低迴聲包塊，包膜光滑完整。膿腔的平均直徑為（8．12±4．31）cm ，其中膿腫直徑＜5cm 51例，膿腫直徑≥5cm 45例。細針抽吸組和置管引流組中膿腫直徑≥5cm患者經過治療後隨訪3箇月，其中細針抽吸組中治愈21例，治愈率為95．45％；置管引流組中治愈22例，治愈率為95．65％；經統計學分析髮現細針抽吸組和置管引流組中膿腫直徑≥5cm患者的治愈率比較無明顯差異。細針抽吸組和置管引流組中膿腫直徑＜5cm 患者經過治療後隨訪3箇月，其中細針抽吸組中治愈22例，治愈率為100.00％；置管引流組中治愈23例，治愈率為100．00％；經統計學分析髮現細針抽吸組和置管引流組中膿腫直徑＜5cm患者的治愈率比較無明顯差異。結論超聲引導經皮穿刺組織活檢能快速明確肝膿腫診斷，對于直徑≥5cm直徑＜5cm的細菌性肝膿腫應分彆首選超聲引導下經皮肝穿刺置管引流術、細針抽吸術等介入性治療方法簡單、安全可靠。
목적：탐토세균성간농종적초성인도하개입치료효과。방법대재아원접수진단여치료적세균성간농종96환자진행초성검사급초성인도개입치료。결과전형적초성표현위간내불규칙적원형무회성혹저회성포괴，포막광활완정。농강적평균직경위（8．12±4．31）cm ，기중농종직경＜5cm 51례，농종직경≥5cm 45례。세침추흡조화치관인류조중농종직경≥5cm환자경과치료후수방3개월，기중세침추흡조중치유21례，치유솔위95．45％；치관인류조중치유22례，치유솔위95．65％；경통계학분석발현세침추흡조화치관인류조중농종직경≥5cm환자적치유솔비교무명현차이。세침추흡조화치관인류조중농종직경＜5cm 환자경과치료후수방3개월，기중세침추흡조중치유22례，치유솔위100.00％；치관인류조중치유23례，치유솔위100．00％；경통계학분석발현세침추흡조화치관인류조중농종직경＜5cm환자적치유솔비교무명현차이。결론초성인도경피천자조직활검능쾌속명학간농종진단，대우직경≥5cm직경＜5cm적세균성간농종응분별수선초성인도하경피간천자치관인류술、세침추흡술등개입성치료방법간단、안전가고。
Objective To investigate the bacterial liver abscess by ultrasound diagnostic technique and interventional therapeutic effect .Methods Bacterial liver abscess patients were examinated by ultrasound and they were treated by ultra‐sound guided percutaneous transhepatic fine needle aspiration and percutaneous transhepatic catheter drainage .The effect of treatment was compared in the two methods for in patients with abscess diameter <5 cm and above 5 cm .Results Typical ultrasound features of intrahepatic irregular circular anechoic or hypoechoic mass ,coating was smooth and com‐plete .Fine needle aspiration group and drainage group abscess diameter larger than 5 cm patients and <5 cm patients cure rate had no significant difference (χ2 =0 .08 ,0 .00 ,P >0 .05) .But for abscess with diameter larger than 5 cm patients , fine needle aspiration of hospitalization and the pus cavity group patients were lower than the disappearance time of catheter drainage group was significantly prolonged ( t = 6 .97 ,4 .56 , P< 0 .05) .Conclusion Ultrasound guided percutaneous puncture biopsy can be quickly diagnosed as liver abscess .Bacterial liver abscess with a diameter greater than 5 cm or less than 5 cm should be preferred to the ultrasound guided percutaneous transhepatic catheter drainage ,fine needle aspiration of interventional therapy .Method is simple ,exact curative effect ,safety ,low cost ,which is worthy of clinical use .
