摘要
目的探讨细菌性肝脓肿的诊断和治疗方法,以总结临床经验并提高疗效。方法回顾性分析本院2007年1月～2011年9月收治的110例细菌性肝脓肿病例的临床资料。本组患者中男性72例,女性38例,年龄38～77岁。肝右叶脓肿者65例,肝左叶脓肿者45例,单发脓肿者77例,脓肿直径为2～11cm。结果给予单纯内科保守治疗者(脓肿直径均<3cm)11例,其中10例治愈;外科切开脓肿引流者24例,全部治愈,但术后有8例患者出现并发症;超声引导下行肝脓肿穿刺抽脓+置管引流者81例,其中76例治愈,治愈者无并发症出现。结论脓肿直径<3cm的患者应以内科保守治疗为主。肝脓肿体积较大,全身中毒症状明显,单纯内科治疗和超声介入治疗经久不愈者,往往需要行肝脓肿切开引流术。超声引导下行肝脓肿穿刺抽脓+置管引流创伤小、操作简单、治愈率高,可作为肝脓肿的首选治疗方法。
Objective To investigate the diagnosis and treatment effect of bacterial liver abscesses and to enhance the cure rate through experience summarizing. Methods Total of 72 male patients and 38 female patients aged from 38 to 77 years with bacterial liver abscess were analyzed. The hepatic absesses were on the left lobe in 45 patients and on the right lobe in 65 cases. There were 77 cases had single abscess in liver. The diameters of all abscesses were ranged from 2 to 11 cm. Results There were 11 patients with the abscess diameter 〈 3 cm underwent the simple conservative medical treatment and 10 patients were cured. While 24 cases recovered with the help of the operative drainage and 8 among them were found complications. There were 76 among 81 patients were cured without complications with the puncture aspiration of pus and drainage tube by the ultrasound guiding. Conclusions For the patients with small abscess （ diameter 〈 3 cm）, the best choice is the simple conservative medical treatment. For the patients with large abscesses, serious toxicity symptoms or resistance of the simple conservative medical therapy is to puncture aspiration of pus and drainage tube by ultrasound guiding for its simple operations, smaller traumas and high cure rate.
出处
《中华实验和临床感染病杂志（电子版）》
CAS
2013年第1期43-46,共4页
Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition)
关键词
肝脓肿
诊断
治疗
Liver abscess
Diagnosis
Treatment
