Abdelouafi A, Ousehal A, Adil A, Kadiri R
Service Central de Radiologie, CHU Ibn Rochd, Casablanca, Maroc.
J Radiol. 1993 Jun-Jul;74(6-7):341-6.
The authors report on a retrospective series of 37 liver abscesses treated via the percutaneous route in 34 patients, in order to assess the efficacy of this method. One or more aspiration punctures were undertaken in 24 patients (70.6%), while percutaneous drainage was performed in 10 patients (29.4%). In 27 cases (79.5%), this percutaneous treatment resulted in a cure. Further surgical drainage, carried out in 7 patients (20.5%) was only required in 3 cases, twice due to the inefficacy of percutaneous drainage and once in the presence of three liver abscesses containing particularly thick pus. Ultrasonographic monitoring demonstrated a return to normal in 66.6% of cases, the persistence of a slight residual collection in 26.6% patients and one relapse, two months after percutaneous drainage. Two complications inherent to the percutaneous treatment were noted: a pneumothorax and a case of septicemia, both of which had a favourable outcome.
作者报告了对34例患者经皮治疗的37例肝脓肿的回顾性系列研究,以评估该方法的疗效。24例患者(70.6%)进行了一次或多次穿刺抽吸,10例患者(29.4%)进行了经皮引流。27例(79.5%)经皮治疗获得治愈。7例患者(20.5%)进行了进一步的手术引流,仅3例需要手术引流,其中2例是由于经皮引流无效,1例是因为存在3个肝脓肿且脓液特别浓稠。超声监测显示,66.6%的病例恢复正常,26.6%的患者仍有轻微残余积液,1例在经皮引流两个月后复发。记录到经皮治疗的2种并发症:1例气胸和1例败血症,二者预后均良好。