[1]徐家华,张家兴,曹传武,等.CT引导下肝脓肿穿刺置管引流术的探讨[J].介入放射学杂志,2008,(08):574.
　XU Jiahua,ZHANG Jiaxing,CAO Chuanwu,et al.CT guidance of percutaneous hepatic abscess drainage[J].journal interventional radiology,2008,(08):574.
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CT引导下肝脓肿穿刺置管引流术的探讨()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年08期
页码:
574
栏目:
非血管介入
出版日期:
2008-08-15

文章信息/Info

Title:
CT guidance of percutaneous hepatic abscess drainage
作者:
徐家华; 张家兴; 曹传武; 等
２０００７２上海同济大学附属第十人民医院介入科
Author(s):
XU Jia－hua; ZHANG Jia－xing; CAO Chuan－wu; LI Mao－quan; LU Fu－ming; ZHENG Man－hua．
Department of Interventional Radiology，Tenth Peoples' Hospital，Tongji University，Shanghai２０００７２，China
关键词:
肝脓肿; CT引导; 置管引流
分类号:
R５７５.４
文献标志码:
A
摘要:
目的探讨CT引导下肝脓肿穿刺引流术的方法和疗效。方法本组２０例肝脓肿患者，均经临床、生化和影像学（CT）检查确诊为肝脓肿，行CT引导下定位穿刺抽吸并置管引流。脓肿位于肝左叶６例，肝右叶９例，肝２叶５例。结果１４例为单个脓肿，６例为多发脓肿，单个脓肿经１次抽吸后脓肿完全消失９例，l例经２次抽吸基本消失，多发或多房脓肿穿刺先抽较大脓肿，后抽较小脓肿，或分次抽吸，２０例均放置引流管并冲洗，平均引流置管时间为１９．２d，所有患者至随访截止日未见复发。结论CT引导下穿刺抽吸引流是治疗肝脓肿的非常有效的方法。

参考文献/References:

［１］Barrio J，Cosme A，Ojeda E，et al．Pyogenic liver abscesses of bacterial origin．A study of４５cases［J］．Rev Esp Enferm Dig，２０００，９２：２３２－２３９．
［２］Rahimian J，Wilson T，Oram V，et al．Pyogenic liver abscess：recent trends in etiology and mortality［J］．Clin Infect Dis，２００４，３９：１６５４．
［３］Nah BK，Kim YS，Moon HS ，et al．Recent changes of organism and treatment in pyogenic liver abscess［J］．Tachan Kan Hakhoe Chi ，２００３，９：２７５－２８３．
［４]Yang CC，Yen CH，Ho MW，et al．Comparison of pyogenic liver abscess caused by non－Klebsiella pneumoniae and Klebsiella pneumoniae［J］．J Mi crobiol lmmunol Infect，２００４，３７：l７６－l８４．
［５］Lim SW，Lee EJ ，Lee SW，et al．Clinical significance of Klebsiella pneumoniae xin liver abcess［J］．Korean J Gastroenterol，２００３，４２：２２６－２３１．
［６］吴恩惠，贺能树．介入性治疗学[M]．北京：人民卫生出版社，１９９３：２９２．
［７］刘建辉，梁捷，张敏，等．彩超引导经皮肝穿治疗细菌性肝脓肿的治疗临床体会［J］．中华临床新医学，２００３，３：７４７－７４８．

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备注/Memo

备注/Memo:
收稿日期：２００８－０１－１５
更新日期/Last Update: 2008-08-15