Damianov D, Grigorov N, Glavincheva I, Nikolova S
Khirurgiia (Mosk). 1990 Jun(6):82-5.
The authors discuss the possibilities of ultrasonic tomography and subsequent performance of purposeful punctures for establishing the precise diagnosis of hepatic and perihepatic abscesses. In most cases the method helps in revealing the cavities measuring no more than 1.5-2.0 cm. The indications are determined, as well as the techniques of topical treatment with the use of single and multiple punctures and prolonged percutaneous drainage. Seventy-three patients (32 with hepatic and 41 with perihepatic abscesses) underwent clinical examination. Topical therapy was applied in 21 patients with discovered hepatic abscesses, 17 of them recovered. Operations were avoided in 25 in a group of 34 patients with perihepatic abscesses (in 7 the abscesses were not identified). The success of this treatment is determined by exact diagnosis and precise manipulations.
作者们讨论了超声断层扫描以及随后进行有针对性穿刺以准确诊断肝脓肿和肝周脓肿的可能性。在大多数情况下，该方法有助于发现直径不超过1.5 - 2.0厘米的空洞。确定了适应证，以及使用单次和多次穿刺及长期经皮引流的局部治疗技术。73例患者（32例肝脓肿和41例肝周脓肿）接受了临床检查。21例发现肝脓肿的患者接受了局部治疗，其中17例康复。在34例肝周脓肿患者中，25例避免了手术（7例未发现脓肿）。这种治疗的成功取决于准确的诊断和精确的操作。
