目的探讨经皮穿刺抽脓术与保守治疗细菌性肝脓肿的临床疗效。方法选取70例细菌性肝脓肿患者,将其随机分为两组,其中32例采用经皮穿刺抽脓术治疗的患者作为观察组,38例采用保守治疗的患者作为对照组,比较两组患者退烧时间、住院时间及疗效。结果较对照组,观察组患者住院时间短,退热快,临床疗效好,两组比较差异显著P<0.05。结论较保守治疗,经皮穿刺抽脓术治疗细菌性肝脓肿疗效确切,患者退烧快,住院时间短,值得临床推广应用。 Objective To investigate the clinical efficacy of percutaneous aspiration and conservative treatment of bacterial liver abscess. Methods Seventy patients with bacterial liver abscess were selected and divided into two groups at random. Among them, 32 patients treated by percutaneous puncture and pus were treated as observation group and 38 patients treated conservatively as control group. The patients in two groups were compared Anti-fever time, hospital stay and efficacy. Results Compared with the control group, the observation group patients hospitalized for a short time, fever fast, clinical efficacy, the difference was significant between the two groups P <0.05. Conclusions More conservative treatment, percutaneous puncture and purulent ablation of bacterial liver abscess treatment is effective, patients with fast fever, shorter hospital stay, worthy of clinical application.