Mansfeld L, Boitz F, Poehls C, Cimanowski N
Röntgendiagnostisches Zentrum, Klinikums Berlin-Buch.
Digitale Bilddiagn. 1987 Sep;7(3):147-50.
Amebic liver abscesses are the most frequent clinical manifestations of the extra-intestinal amebiasis and have to be considered as a serious complication in the course of disease. The abscesses have by their risk of rupturing and bacterial superinfection quoad vitam an unfavourable prognosis. CT-guided relief punctures can, as it is demonstrated by two cases of critical amebic abscesses, effectively improve the therapy with systemic amebicides, prevent imminent rupture and contribute to the healing of the abscesses. Thus a surgical treatment of the abscess was not necessary.
阿米巴肝脓肿是肠外阿米巴病最常见的临床表现,必须被视为疾病过程中的严重并发症。由于脓肿有破裂和细菌二重感染的风险,其预后不良。如两例重症阿米巴脓肿病例所示,CT引导下的穿刺引流可以有效改善全身使用抗阿米巴药物的治疗效果,预防脓肿即将破裂,并促进脓肿愈合。因此,无需对脓肿进行手术治疗。