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13只犬的肝脓肿:超声检查结果、临床资料及治疗选择的综述

Hepatic abscesses in 13 dogs: a review of the ultrasonographic findings, clinical data and therapeutic options.

作者信息

Schwarz L A, Penninck D G, Leveille-Webster C

机构信息

Department of Surgery, Foster Hospital for Small Animals, Tufts University School of Veterinary Medicine, North Grafton, MA 01536, USA.

出版信息

Vet Radiol Ultrasound. 1998 Jul-Aug;39(4):357-65. doi: 10.1111/j.1740-8261.1998.tb01621.x.

Abstract

Historical, physical examination, clinicopathologic, radiographic and ultrasonographic findings of 13 dogs with hepatic abscesses were reviewed. Liver abscessation was characterized by number, size, shape, echogenicity and location. Solitary lesions greater than 3 cm were more common than multiple ones. The abscesses were mainly poorly echogenic lesions, often with central cavitation. The shape of the lesion ranged from round to oval or irregular. Enhancement artifact, abdominal effusion, regional lymphadenopathy and hyperechoic perihepatic fat, were identified in several dogs. Ultrasound-guided aspiration was performed in 10 of 13 dogs, and confirmed abscessation with cytologic and microbiologic evaluation. Ultrasound-guided percutaneous drainage of abscesses was performed as an adjunct to medical management in four dogs.

摘要

回顾了13只患有肝脓肿犬的病史、体格检查、临床病理、放射学和超声检查结果。肝脓肿的特征在于数量、大小、形状、回声性和位置。大于3cm的孤立性病变比多发性病变更常见。脓肿主要为低回声病变,常伴有中央空洞。病变形状从圆形到椭圆形或不规则形。在几只犬中发现了增强伪像、腹腔积液、局部淋巴结病和肝周高回声脂肪。13只犬中有10只进行了超声引导下抽吸,并通过细胞学和微生物学评估确诊为脓肿。4只犬进行了超声引导下经皮脓肿引流作为药物治疗的辅助手段。

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