目的 肝脓肿患者通过超声介入辅助下经皮肝脏穿刺置管引流术进行治疗，对其临床疗效进行研究分析。方法? 选取重庆市大渡口区人民医院在 2018 年 6 月至 2019 年 12 月收治的 60 例肝脓肿的患者为研究对象，以随机数字表法分为观察组（n=30）和对照组（n=30）。对照组患者通过手术切开肝脓肿置管引流术治疗，观察组患者以超声介入辅助下经皮肝脏穿刺置管引流术治疗，比较两组患者的治疗总有效率、并发症发生概率以及治疗前后白细胞介素 -6（IL-6）、C- 反应蛋白（CRP）、肿瘤坏死因子（TNF-α）的水平。结果? 观察组患者的治疗总有效率为 96.67%（29/30），对照组患者的治疗总有效率为 73.33%（22/30），组间差异有统计学意义（P ＜ 0.05）；观察组患者的并发症发生概率为 3.33%（1/30），对照组患者的并发症发生概率为 20.00%（6/30），组间差异有统计学意义（P ＜ 0.05）；治疗前，两组患者的 IL-6、CRP、TNF-α 相比，差异无统计学意义（P ＞ 0.05），治疗后，两组各项指标均低于治疗前，且观察组患者的指标显著低于对照组患者，组间差异均有统计学意义（P ＜ 0.05）。结论? 通过超声介入辅助下经皮肝脏穿刺置管引流术对肝脓肿患者进行治疗，治疗效果确切，并发症发生概率较低，炎症水平得到明显改善，值得推广。
Objective? To study and analyze the clinical efficacy of percutaneous liver puncture and drainage assisted by ultrasound in the treatment of liver abscess. Methods? A total of 60 patients with liver abscess admitted to Dadukou District People's Hospital of Chongqing from June 2018 to December 2019 were selected as study subjects，and were divided into observation group（n=30）and control group（n=30）by random number table method. Control group of patients by surgical incision for the treatment of liver abscess drainage tube，observation group of patients is aided by ultrasonic intervention for the treatment of percutaneous liver puncture catheter drainage，and the total effective rate，the incidence rate of complications and the levels of IL-6，CRP and tumor necrosis factors（TNF-α）before and after treatment were compared between the two groups.Results? The total effective rate of patients in the observation group was 96.67%（29/30），while that in the control group was 73.33%（22/30），with statistically significant difference between the two groups（P＜0.05）.The incidence of complications in the observation group was 3.33%（1/30），while that in the control group was 20.00%（6/30），with statistically significant difference between the two groups（P＜0.05）. Before treatment，there was no significant difference in IL-6，CRP and TNF-α between the two groups（P＞0.05）. After treatment，all the indexes in the two groups were lower than before treatment，and the indexes in the observation group weresignificantly lower than those in the control group，there were significant differences among groups（P＜0.05）.Conclusion? Percutaneous liver puncture and drainage assisted by ultrasound intervention is effective in the treatment of liver abscess. The incidence of complications is low and the inflammation level is significantly improved，which is worthy of promotion.