摘要
目的:探讨CT引导下经皮穿刺置管引流(CT-guided Percutaneous Catheter Drainage,CT-PDLA)治疗细菌性肝脓肿的有效性和安全性。方法:回顾性分析60例细菌性肝脓肿患者在CT引导下经皮穿刺置管引流治疗的临床资料。结果:60例患者中,57例(95.0%)在CT引导下行经皮穿刺置管引流手术后治愈,其余3例(5.0%)再行开腹脓肿引流术后痊愈。57例CT-PDLA患者平均住院时间(15.4±6.8)d,平均带管引流时间(25.6±11.3)d。术后无出血、胆瘘、气胸等严重并发症。结论:严格把握手术时机,准确判断脓肿情况,CT-PDLA治疗细菌性肝脓肿是安全可靠的。
Objective:To evaluate the safety and effectiveness of CT-guided percutaneous catheter drainage (CT-PDLA) in treating bacterial liver abscesses. Methods:The clinical data of 60 patients with bacterial liver abscesses treated by CT-PDLA were retrospectively analyzed. Results:60 patients of bacterial liver abscesses were performed percutaneous puncture and catheter drainage under CT guidance.57 patients (95.0%) were cured,and the remaining 3 cases (5.0%) were treated with open abdominal abscess drainage.The average hospitalization day of the patients performed PDLA was (15.4±6.8)days and drainage time (25.6±11.3)days.All patients had no serious complications such as hemorrhage,bile fistula and pneumothorax. Conclusion:If the surgical opportunity is strictly grasped and the abscess condition is accurately judged,PDLA under CT guidance is a safe and effective for bacterial liver abscess.
作者
彭建
郭鑫
赵子军
周彤
PENG Jian;GUO Xin;ZHAO Zi-jun;ZHOU Tong(Department of General Surgery,Yilong County Hospital of Traditional Chinese Medicine;Department of General Surgery,Yilong County People's Hospital;Department of Radiology,Yilong County People's Hospital;Department of Gastrointestinal Surgery,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China)
出处
《川北医学院学报》
CAS
2019年第2期262-265,共4页
Journal of North Sichuan Medical College
基金
四川省南充市市校联合合作科研项目(185XH20548)
关键词
细菌性肝脓肿
穿刺置管引流
临床分析
Bacterial liver abscesses
Percutaneous puncture and catheter drainage
Clinical analysis
