细菌性肝脓肿诊断和外科治疗(附98例报告) (pdf)

    [摘要] 目的 总结细菌性肝脓肿的临床诊断和外科治疗经验。方法 回顾性分析1998年1月～2006年8月98例细菌性肝脓肿病人的诊断与外科治疗方法。结果 诊断细菌性肝脓肿91例，27例经B超引导肝穿刺置管引流，62例肝脓肿切开引流或加大网膜填塞，13例腹腔镜置管引流，2例肝部分切除。结论 细菌性肝脓肿诊断依据临床表现及B超和CT/MRI检查，外科治疗采用B超引导肝穿刺置管引流、手术切开引流或加大网膜填塞、腹腔镜置管引流、肝部分切除术。

    [关键词] 细菌性肝脓肿；诊断；外科治疗

    Diagnosis and surgical treatment of bacteria liver abscess:a report of 98 cases

    ZHANG Xian-ping，CHEN Yong，YANG Heng，et al.Department of Surgery，the Second People’s Hospital of Liangshan，Xichang 615000，China

    [Abstract] Objective To summarize the experience in diagnosis and surgical treatment of bacteria liver abscess.Methods Diagnosis and treatment of 98 patients with bacteria liver abscess admitted from Jan.1998 to Aug.2006 were retrospectively reviewed.Results 91 patients were diagnosed as bacteria liver abscess.Treating by the puncture drainage for liver abscess under B ultrasound guidance ......