Benazzouz M, Afifi R, Ibrahimi A, Essaid F A, Sebti M F
Clinique Médicale C, Hôpital Avicenne, RABAT, Maroc.
Ann Gastroenterol Hepatol (Paris). 1996 Nov-Dec;31(6):333-6.
Twenty-two cases of abscess of the liver are reported. Eighteen were due to pyogenic organisms and four to amebas. The diagnosis was established based on clinical and laboratory evaluations and, above all, on ultrasonography with aspiration of the lesion. The causative organism was recovered from the aspirate in 33.3% of cases. Seventeen patients were treated by percutaneous aspiration. Two patients required insertion of a drain because of a biliary fistula. The success rate of percutaneous aspiration with or without drainage was 88.2% in our series. The two patients who had surgery had loculated abscesses with thick pus. In conclusion, the diagnosis and treatment of hepatic abscesses have benefited from advances in imaging techniques; in particular, aspiration or drainage can be performed simply under ultrasonographic guidance.
报告了22例肝脓肿病例。18例由化脓性 organisms 引起，4例由阿米巴引起。诊断基于临床和实验室评估，最重要的是基于对病变进行抽吸的超声检查。在33.3%的病例中，从抽吸物中培养出了致病 organisms。17例患者接受了经皮抽吸治疗。2例患者因胆瘘需要插入引流管。在我们的系列研究中，无论有无引流，经皮抽吸的成功率为88.2%。接受手术的2例患者有局限性脓肿且脓液浓稠。总之，肝脓肿的诊断和治疗受益于成像技术的进步；特别是，抽吸或引流可以在超声引导下简单地进行。
