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目的探讨彩色多普勒超声引导介入治疗肝脓肿的临床应用。方法观察我院治疗的37例肝脓肿患者,病灶3～7cm,病人均表现为高热,肝区叩痛、血常规白细胞增多,彩超及CT均诊断为肝脓肿。6例病人进行外科手术治疗,31例进行彩色多普勒超声引导介入治疗。对两组病例的住院时间、创伤程度、疗效及费用情况进行比较研究。结果彩色多普勒超声引导介入治疗肝脓肿具有优点,特别是对年老体弱、不能耐受手术的肝脓肿病人有明显优势。结论用彩色多普勒超声引导介入治疗肝脓肿具有创伤小、疗程短、安全性高、费用低廉、适用人群广泛等较高的临床应用价值。
Objective To investigate the clinical application of color Doppler ultrasound guided interventional treatment of liver abscess. Methods 37 cases of liver abscess were treated in our hospital. The lesions ranged from 3 to 7 cm. The patients showed high fever, percussion pain in the liver area, increased leukocytopenia, and ultrasonography and CT were all diagnosed as liver abscess. Six patients underwent surgical treatment and 31 patients underwent guided color Doppler ultrasound-guided interventional therapy. The two groups of patients hospitalization time, degree of trauma, efficacy and cost were compared. Results Color Doppler ultrasound-guided interventional treatment of liver abscess has advantages, especially for frail, can not tolerate surgery in patients with liver abscess has obvious advantages. Conclusion The guided interventional treatment of liver abscess with color Doppler ultrasound has the advantages of small trauma, short course of treatment, high safety, low cost and wide application.