摘要
目的探讨超声引导下经皮肝穿刺抽脓或置管引流在小儿细菌性肝脓肿的临床应用价值.方法对15例小儿肝脓肿通过超声引导确定后进行穿刺抽脓或置管引流,其中9例行穿刺抽脓1～4次,6例行置管引流.结果15例穿刺、置管全部获成功,治愈14例,住院15～42 d,平均26.3 d,无出血及胆漏并发症.11例随访4个月～1年,平均6.8月,均无复发.1例无效自动出院.结论超声引导经皮肝穿刺或置管引流治疗小儿肝脓肿是切实可行的办法.
Objective To explore the clinical value of ultrasound-guided percutaneous aspiration and drainage for bacterial liver abscess in children. Methods Under the guidance of uhrasouography, 15 children with bacterial hepatic abscess underwent pereutaneous aspiration or drainage. Am.ong them, 9 were given percutaneous aspiration for 1-4 times, and 6 underwent percutaneous drainage. Results Percutaneous aspiration or drainage was successfully accomplished in all the 15 children, 14 of whom were cured. The hospital stay was 15-42 days （mean, 26.3 days）. No bleeding or bile leakage happened. Follow-up for 4-19 months （mean, 6. 8 months） in 11 children showed no recurrence. One patient with no improvement left hospital of his own accord. Conclusions Ultrasound-guided percutaneous aspiration and drainage is a feasible option for the treatment of liver abscess in children.
出处
《中国微创外科杂志》
CSCD
2005年第9期708-709,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
细菌性肝脓肿
小儿
经皮穿刺置管引流
Bacterial liver abscess
Child
Percutaneous aspiration and drainage
Ultrasound-guided
