Hanna R M, Dahniya M H, Badr S S, El-Betagy A
Department of Diagnostic Radiology and Imaging, Al-Sabah Hospital, Kuwait.
Trop Med Int Health. 2000 Aug;5(8):578-81. doi: 10.1046/j.1365-3156.2000.00586.x.
This communication records our experience with the percutaneous catheter drainage (PCD) of 22 amoebic liver abscesses in 19 patients who had failed to respond to amoebicidal therapy. In one patient with a left lobe abscess, imminent rupture was an additional indication for drainage. PCD combined with amoebicidal therapy not only expedited recovery, but was curative in all 19 patients. There were no complications. We conclude that PCD is a most useful adjunct to drug therapy and recommend its routine use in the management of drug-resistant amoebic liver abscesses.
本报告记录了我们对19例经抗阿米巴治疗无效的22个阿米巴肝脓肿进行经皮导管引流（PCD）的经验。在1例左叶脓肿患者中，即将破裂是引流的另一个指征。PCD联合抗阿米巴治疗不仅加快了康复速度，而且对所有19例患者均有治愈效果。无并发症发生。我们得出结论，PCD是药物治疗的一种非常有用的辅助手段，并建议在耐药性阿米巴肝脓肿的治疗中常规使用。
