摘要
目的:总结肝脓肿的诊断和治疗经验,提高诊疗水平.方法:回顾性分析本院2001-01/2011-06收治的183例肝脓肿诊断和治疗的临床资料.结果:男112例,女61例,年龄最小18岁,最大83岁.左肝脓肿65例,右肝脓肿110例,混合型脓肿8例.单腔脓肿152例,2个以上脓腔31例.脓腔最大139mm×115mm,最小17mm×16mm;合并糖尿病、空腹血糖受损、糖耐量低减107例,感染性休克5例.好转治愈178例,2例转外科手术治疗,3例自动出院;B超引导下穿刺抽脓107例,穿刺次数1-7次.结论:肝脓肿与糖尿病密切相关;病原菌以肺炎克雷伯菌多见;B超引导下肝脓肿穿刺操作简便,效果好,可作为肝脓肿局部治疗的首选治疗方法.
AIM：To summarize our experience of diagnosisand treatment of liver abscess.METHODS：The clinical data for 183 patients withliver abscess treated at our hospital from January2001 to June 2011 were analyzed retrospectively.RESULTS：Of 183 patients,152 had single abscess,31 had multiple abscesses;107 had diabetes mellitus;5 had septic shock.The maximalabscess cavity was 139 mm × 115 mm and thesmallest was 17 mm × 16 mm.One hundred andseventy-eight cases were treated with conservative intenal medicine and all were cured.Twocases were referred for surgery and three caseswere discharged themselves.One hundred andseven cases underwent BUS-guided percutaneous needle aspiration,and the number of needleaspirations ranged from 1 to 7 times.CONCLUSION：Liver abscess is closely relatedto diabetes.BUS-guided percutaneous needle aspiration is easy to operate,has good effect,and therefore represents the first choice of treatment for liver abscess.
出处
《世界华人消化杂志》
CAS
北大核心
2011年第28期2979-2982,共4页
World Chinese Journal of Digestology
关键词
肝脓肿
诊断
治疗
糖尿病
穿刺
Liver abscess
Diagnosis
Treatment
Diabetes
Puncture
