Léonetti P, Moncany G, Soubeyrand J
J Radiol. 1987 Apr;68(4):259-64.
Diagnosis and course of acute single amebic abscess of liver were studied in 983 cases followed up regularly until recovery. A simple but very precise classification is proposed based on course of disease as determined by ultrasound imaging. Early appearances prior to ultrasound are emphasized, these involving pronounced reversible biliary and pancreatic modifications that should be recognized in patients presenting before development of an abscess evident on liver ultrasonography. Ultrasound assists follow up during medical treatment. It very effectively demonstrates the dissociation between pathologic and clinical findings characteristic of this course, with clinical recovery usually within 8 to 10 days contrasting with persistence of liver abscess over several months.
对983例急性单纯性肝阿米巴脓肿患者进行了研究,这些患者均定期随访直至康复。根据超声成像确定的疾病病程,提出了一种简单但非常精确的分类方法。强调了超声检查前的早期表现,这些表现涉及明显的可逆性胆管和胰腺改变,在肝脏超声检查发现脓肿之前就诊的患者中应认识到这些改变。超声有助于药物治疗期间的随访。它非常有效地显示了该病程特有的病理和临床发现之间的分离,临床恢复通常在8至10天内,而肝脓肿则持续数月。