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肝脓肿的造影诊断及介入治疗探讨

Angiographic Diagnosis and Interventional Therapy of Hepatic Abscess

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【作者】 席嘉元翟凌云吕梁杨珏曹新华

【Author】 Xi Jia yun Dept.Radiology,Yun Nan Provincial People’s Hospital

【机构】 云南省医学影像研究中心 云南省人民医院放射科云南省医学影像研究中心云南省人民医院放射科

【摘要】 笔者报告经 Seldinger 氏法腹腔动脉或肝动脉插管 DSA 或/和 PUCK 摄片诊断肝脓肿9例。造影特征为:肝动脉不增粗;血管包绕征;腔壁环影征;脓腔相对低密度区。对5例脓腔直径>4cm 者,除1例外科手术切除(术后1天死亡)外,其余4例采用静脉套管针经皮穿刺脓腔置管介入治疗:抽出脓液,冲洗脓腔,脓腔造影,定期保留抗生素,甲硝唑溶液治疗,1~2周治愈出院,它明显优于内科及外科治疗。

【Abstract】 Nine cases of hepatic abscess were diagnosed by Seldingers technigue. The angiographic features consisted of 1)no hepatic artery dilatation:2)vasculas encase- ment sign:3)cavitery ring sign 4)relative low density cavity sign.Five patients with ab- scess diameter over 4era,but one,performed partial hepatic resection ended other totally four underwent percutaneous transhepatic abscess intervertional therapy,including venous puncture drainage of pus;washing vomiea;periodic retained cathertee for antibiotic and an- tiamebic therapy.All four patients were off hospital one and two weeks later:The effect of interventinal therapy is better than that of medical therapy and surgery.

  • 【文献出处】 介入放射学杂志 ,Journal of Interventional Radiology , 编辑部邮箱 ,1995年02期
  • 【分类号】R575.4
  • 【被引频次】1
  • 【下载频次】14
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