目的对比超声引导与CT引导下 经皮肝穿刺引流治疗肝脓肿的优劣。方 法 随机选取2011年5月至2015年5月我院 收治的肝脓肿患者80例(80个肝脓肿)， 依据治疗方法将这些患者分为两组，即超 声组(n=40)和CT组(n=40)。给予超声组患 者超声引导下经皮肝穿刺引流治疗，给予 CT组患者CT引导下经皮肝穿刺引流治疗。 结果 超声组患者的2次穿刺成功率显著高 于CT组(P<0.05)，3次穿刺成功率显著低 于CT组(P<0.05)，操作时间显著短于CT 组(P<0.05)，但两组患者的1次穿刺成功 率、治疗的总有效率、并发症发生率之间 的差异均不显著(P>0.05)。结论 超声引 导与CT引导下经皮肝穿刺引流治疗肝脓肿 均安全有效，但前者比后者经济便利。

Objective To compare the pros and cons of ultrasound-guided and CT-guided percutaneous drainage in the treatment of liver abscess. Methods 80 cases (80 liver abscess) of patients with liver abscess who were treated in CT/MRI room of Daye City People's Hospital from May 2012 to May 2015 were randomly selected, they were divided into two groups according to the treatment methods, namely ultrasound group (n=40) and the CT group (n=40). The ultrasound group were given percutaneous ultrasound-guided drainage therapy, while the CT group were given CT-guided percutaneous drainage therapy. Results The 2 times success rate of ultrasound group was significantly higher (P<0.05), the 3 times success rate was significantly lower (P<0.05), the operating time was significantly shorter than CT group (P<0.05), However, the differences of 1 time success rate, total treatment efficiency, complication rates between the two groups were not significant (P>0.05). Conclusion Ultrasound-guided and CT-guided percutaneous drainage in the treatment of liver abscess are safe and effective, but the former is more facilitated and economic than the latter.