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细菌性肝脓肿是一种对患者生命具有潜在威胁的疾病,由于现代影像学诊断方法的出现,以放射介入方法为工具经皮治疗性导管引流(percutaneous catheter drainage,PCD)和(或)经皮穿刺吸引(percutaneous needle aspiration,PNA)几乎代替了外科手术引流,成为一种安全有效的治疗方法。我们采用CT引导下PNA方法治疗27例细菌性肝脓肿,现将结果报告如下。 1资料与方法 1.1一般资料 本组27例系我院1992年8月～1997年8月间住院患者,男20例,女7例;年龄34～68岁,平均年龄53岁。根据临床、腹部超声、CT、胃镜检查,合并慢性胆囊炎4例,胆囊及或胆总管结石2例,十二指肠憩室炎2例,肝外腹腔内脓肿1例,其余均为“隐源性”。全部患者均排除以下情况:阿米巴肝脓肿,坏死性肿瘤,真菌性肝脓肿,以及未做血及脓液细菌培养者。
Bacterial liver abscess is a potentially life-threatening disease. Due to the emergence of modern imaging diagnostic methods, radiation-interventional methods are used as a tool for percutaneous catheter drainage (PCD) and / or percutaneous Percutaneous needle aspiration (PNA) has almost replaced the surgical drainage, as a safe and effective treatment. We used CT-guided PNA treatment of 27 cases of bacterial liver abscess, the results reported below. 1 Materials and Methods 1.1 General Information The group of 27 cases in our hospital from August 1992 to August 1997 inpatients, 20 males and 7 females; aged 34 to 68 years, mean age 53 years. According to clinical, abdominal ultrasound, CT, gastroscopy, with chronic cholecystitis in 4 cases, gallbladder and or common bile duct stones in 2 cases, duodenal diverticulitis in 2 cases, extrahepatic abscess in 1 case, the rest were “hidden source Sex. ” All patients were excluded from the following conditions: amoebic liver abscess, necrotic tumors, fungal liver abscess, and not blood and pus bacterial culture.