Karavias D, Panagopoulos C, Vagianos C, Vagenas C, Rathosis S, Androulakis J
Department of Surgery, University Hospital, Patras, Greece.
Ups J Med Sci. 1988;93(3):289-96. doi: 10.3109/03009738809178554.
Twenty-one cases of hepatic abscesses treated during a period of four years (from 1981 to 1985) at the University of Patras, Greece, are presented. This material includes 10 cases with abscesses caused by suppurated echinococcal cysts, corresponding to 21% of the total number of 47 cases of echinococcal cysts of the liver treated at our department during the same period. A preoperative diagnosis of the suppurated echinococcal cysts by conventional laboratory methods was not reliable. Because of the high frequency of echinococcal disease in our region and the risk of contamination of the peritoneal cavity from echinococcal parasites if the cyst is punctured, the new therapeutic techniques of treating hepatic abscesses by percutaneous drainage have not been applied. The exclusive method of treatment used was surgical drainage which had a satisfactory outcome and a mortality rate as low as 9%.
本文介绍了希腊帕特雷大学在四年期间（1981年至1985年）治疗的21例肝脓肿病例。该资料包括10例由化脓性棘球蚴囊肿引起的脓肿病例，占同期我科治疗的47例肝棘球蚴囊肿病例总数的21%。通过传统实验室方法对化脓性棘球蚴囊肿进行术前诊断并不可靠。由于我们地区棘球蚴病的高发率以及囊肿穿刺时棘球蚴寄生虫污染腹腔的风险，经皮引流治疗肝脓肿的新治疗技术尚未应用。所采用的唯一治疗方法是手术引流，其效果令人满意，死亡率低至9%。
