Berger H, Pratschke E, Berr F, Fink U
Radiologische Klinik und Poliklinik, Universität München, Klinikum Grosshadern.
Rofo. 1989 Feb;150(2):167-70. doi: 10.1055/s-2008-1046998.
28 primary liver abscesses, including 9 amoebic abscesses, in 24 patients were drained percutaneously. Indication for drainage in amoebic abscesses was imminent rupture and clinical symptoms as pleural effusion, lung atelectasis and pain. 95% of the primary abscesses were cured by percutaneous drainage and systemic antibiotic treatment. There was one recurrence of abscess, which was managed surgically. Reasons for drainage failure were: tumour necrosis and tumour perforation with secondary liver abscess.
24例患者共28个原发性肝脓肿接受了经皮引流,其中包括9个阿米巴肝脓肿。阿米巴肝脓肿的引流指征为即将破裂以及出现胸腔积液、肺不张和疼痛等临床症状。95%的原发性脓肿通过经皮引流和全身抗生素治疗得以治愈。有1例脓肿复发,通过手术治疗。引流失败的原因包括:肿瘤坏死和肿瘤穿孔继发肝脓肿。