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目的探讨在肝脓肿诊断及穿刺置管引流治疗引导中彩色多普勒超声(CDUS)的临床应用价值。方法应用CDUS对2012年3月至2014年6月收治的46例肝脓肿患者进行肝脏检查,分析其超声图像特点,并与肝穿刺、病理结果对比;治疗上行CDUS引导下穿刺置管引流,观察其治疗疗效。结果 46例最终均经超声引导下肝穿刺及病理检查确诊为肝脓肿,经CDUS诊断为肝脓肿44例,诊断符合率95.7%。46例患者穿刺置管引流治疗后3~5 h体温即下降,穿刺成功率以及治愈率均达100%。无1例出现严重感染、大出血、气胸以及胆漏等并发症。结论 CDUS诊断肝脓肿的准确率很高;采用CDUS引导下穿刺置管引流治疗肝脓肿,方法直接、安全、易于操作,且穿刺成功率及治愈率高。
Objective To investigate the clinical value of color Doppler ultrasound (CDUS) in the diagnosis and treatment of hepatic abscess. Methods Liver biopsy was performed in 46 patients with liver abscess treated by CDUS from March 2012 to June 2014. The characteristics of the ultrasound were analyzed and compared with the results of liver biopsy and pathological examination. Therapeutic effect. Results All the 46 cases were diagnosed as liver abscess by liver puncture and pathological examination under the guidance of ultrasound, and 44 cases were confirmed as liver abscess by CDUS. The coincidence rate was 95.7%. In 46 patients, the temperature dropped 3 to 5 hours after the catheterization and drainage, and the successful rate and the cure rate of puncture reached 100%. No one case of serious infection, bleeding, pneumothorax and bile leakage and other complications. Conclusion The accuracy of CDUS in the diagnosis of liver abscess is high. The treatment of hepatic abscess with CDUS guided drainage is straightforward, safe and easy to operate. The success rate of puncture and the cure rate are high.