Gerzof S G, Johnson W C, Robbins A H, Nabseth D C
Am J Surg. 1985 Apr;149(4):487-94. doi: 10.1016/s0002-9610(85)80045-3.
During a 6 year period, 18 liver abscesses in 12 patients were identified by computerized tomography. Five patients had presumed hematogenous seeding. Five patients previously had bilioenteric anastomoses, stents, or both to relieve obstructive jaundice. Four patients with abscesses had recent abdominal operations. Diagnosis was established by guided needle aspiration and treatment was provided by percutaneous catheter drainage. Organism-specific antibiotics were administered to all patients. Patients were evaluated for recurrence by serial computerized tomographic studies and were clinically followed up for a minimum of 15 months. Ten of 12 patients (83 percent) and 16 of 18 abscesses (89 percent) were successfully treated by percutaneous catheter drainage. Two failures required operative intervention. In summary, the low morbidity and high success rate in treating hepatic abscesses by percutaneous drainage suggests that this therapy be tried before operative intervention is considered.
在6年期间，通过计算机断层扫描在12例患者中发现了18个肝脓肿。5例患者推测为血行播散。5例患者此前曾进行胆肠吻合术、放置支架或两者皆有，以缓解梗阻性黄疸。4例有脓肿的患者近期接受过腹部手术。通过引导下针吸进行诊断，并通过经皮导管引流进行治疗。所有患者均使用了针对特定病原体的抗生素。通过系列计算机断层扫描研究评估患者是否复发，并进行至少15个月的临床随访。12例患者中的10例（83%）以及18个脓肿中的16个（89%）通过经皮导管引流成功治愈。2例治疗失败需要手术干预。总之，经皮引流治疗肝脓肿的低发病率和高成功率表明，在考虑手术干预之前应尝试这种治疗方法。
