摘要
【目的】探讨分析细菌性肝脓肿的超声表现及超声诊断技术和介入性治疗的临床应用价值。【方法】回顾性分析经临床随访及超声引导下穿刺活检证实76例细菌性肝脓肿临床及影像学资料。【结果】肝脓肿随病理过程的变化临床及超声表现各不同,超声引导下穿刺活检可确诊,大部分可行超声引导下脓肿穿刺抽吸或置管引流,结合全身治疗,可使病程缩短。【结论】肝脓肿声像图复杂多变,超声仍为首选方法,超声引导下穿刺更具诊断意义,超声引导下穿刺引流疗效显著。
[Objective]To explore the ultrasonic manifestation and clinical value of ultrasonic diagnostic technique and interventional treatment for bacterial hepatic abscess. [Methods]The ultrasonic features of 76 patients with bacterial hepatic abscess were retrospectively reviewed. All cases were confirmed by clinical follow-up and puncture biopsy under ultrasound guidance, and some cases healed after interventional treatment with ultrasound guidance. [Results] The clinical and ultrasonic appearance of hepatic abscess was different with pathological variance. Bacterial hepatic abscess could be definitely diagnosed by ultrasound guided puncture biopsy. The course of most patients was shortened by abscess puncture aspiration under ultrasound guidance or catheter drainage combined with whole body therapy. [Conclusion] The ultrasound imaging features of hepatic abscess are intricate and variable, but ultrasound is still the first choice. Ultrasound guided puncture contributes to diagnosis, and ultrasound guided puncture drainage is significantly effective for the treatment of hepatic abscess.
出处
《医学临床研究》
CAS
2008年第1期55-57,共3页
Journal of Clinical Research
