【摘要】 目的 探讨CT引导下脓腔置管引流、冲洗治疗肺脓肿的疗效。方法 将64例肺脓肿患者随机分为A、B两组各32例。A组予以传统的常规方法即止咳、化痰、抗感染、体位引流治疗。B组在A组治疗的基础上加用CT引导下脓腔置管引流、冲洗治疗。两组患者疗程均为3周。结果 A组显效8例，有效14例，总有效率68.8%；B组显效21例，有效10例，总有效率96.9%，两组疗效比较差异有非常显著性(P<0.01)。结论 CT引导下脓腔置管引流、冲洗治疗肺脓肿具有疗效确切、治愈率高、操作简单、创伤小、疗程短、医疗费用低的特点，值得临床推广应用。

    【关键词】 肺脓肿；CT引导；引流术

    The clinical investigation for lung abscesses therapy with rinse and drainage after placing the drainage catheter into the cavity by CT guiding

    DING Hui-zhen,WEI Qi-hong.Department of Pulmonary,Yangzhou First People’s Hospital,Yangzhou 225001,China

    【Abstract】 Objective To observe the result of rinse and drainage therapy after placing the drainage catheter into the cavity by CT guiding.Methods 64 patients were divided into two groups randomly.Group A(n=32) received traditional therapy such as antibiotics,relieving cough,postural draingae,etc.The other 32 patients(group B) received rinse and drainage of abscess through the catheter besides the therapy of group A.Results In group A,8 patients showed effective and 14 patients showed partial effective.The effective was 68.7%.In group B,21 patients showed effective and 10 patients showed partial effective.The effective rate was 96.8%.they had difference apparently (P<0.01).Conclusion The therapy of rinse and drainage after placing the drainage catheter into the cavity by CT guiding has many advantages such as high efficacy,easy operating,litter suffering,short time,less cost,which is worth of spreading in clinic work. ......