我院自1988年6月至1993年12月,采用B超引导下经皮肝穿刺置管引流治疗细菌性肝脓肿78例,近期效果满意,现报道如下。 1 临床资料 1.1 一般资料:本组78例中,男53例,女25例;年龄3—71岁。病程8天至136天。单发脓肿72例,多发脓肿6例;累及右肝54例,左肝20例,全肝4例。脓腔直径4—11cm。细菌培养;大肠杆菌28例,葡萄球菌37例,其他细菌13例。 1.2 治疗方法:患者取仰卧位或侧卧位,用B超探头全面了解脓腔情况后,选择最佳穿刺点及进针路线。用2％碘酊和75％酒精消毒穿刺区皮肤,铺无菌洞巾,用1％—2％普鲁卡因或利多卡因局部浸润麻醉后,将 Our hospital from June 1988 to December 1993, the use of B-guided percutaneous drainage catheter drainage of bacterial liver abscess in 78 cases, the recent satisfactory results are reported below. 1 Clinical data 1.1 General Information: This group of 78 patients, 53 males and 25 females; aged 3-71 years. Duration of 8 days to 136 days. 72 cases of single abscess, multiple abscess in 6 cases; involving the right liver in 54 cases, 20 cases of left liver, 4 cases of whole liver. Abscess diameter 4-11cm. Bacterial culture; Escherichia coli 28 cases, Staphylococcus 37 cases, other bacteria 13 cases. 1.2 Treatment: Patients supine position or lateral position, with a comprehensive understanding of the B ultrasound probe abscess, choose the best puncture point and needle line. With 2% iodine and 75% alcohol disinfection of the skin area, sterile sterile towel, with 1% -2% procaine or lidocaine local anesthesia, will