目的总结超声导向经皮肝穿刺治疗细菌性肝脓肿的经验,并评价其临床应用价值。方法对33例细菌性肝脓肿患者行超声导向经皮穿刺抽脓,均结合抗生素治疗,其中15例行置管引流。结果33例患者经超声导向下穿刺抽脓结合抗生素治疗后,治愈率88%,总有效率100%,脓液细菌培养阳性率62%。结论超声导向经皮肝穿刺是治疗肝脓肿微创、安全、高效的方法。 Objective To summarize the experience of ultrasonic guided percutaneous transhepatic puncture in the treatment of bacterial liver abscess and to evaluate its clinical value. Methods Thirty-three patients with bacterial liver abscess underwent ultrasound-guided percutaneous aspiration and antibiotic therapy. Among them, 15 patients underwent catheter drainage. Results 33 cases of patients undergoing ultrasound-guided pus drainage combined with antibiotics, the cure rate was 88%, the total effective rate was 100%, Pus bacterial culture positive rate of 62%. Conclusion Ultrasound guided percutaneous transhepatic puncture is a minimally invasive, safe and efficient method for the treatment of liver abscess.