细菌性肝脓肿非手术治疗后的超声随访

Ultrasound follow-up of liver abscess after non-surgical treatment

目的:探讨肝脓肿成功治愈患者残余脓肿的超声表现。方法:收治肝脓肿患者161例。排除阿米巴肝脓肿患者。应用抗生素治疗6周,如有适应证则行经皮穿刺。超声随访时间:治疗后2周、1个月、3个月、6个月、12个月,之后每6个月1次。结果:1个肝脓肿83例,2个肝脓肿12例,>2个肝脓肿7例。肝脓肿直径4.2~15 cm,分离到致病菌29例。超声随访发现,治疗后大多数肝脓肿得以缓解,酗酒患者、糖尿病患者治愈时间较长。结论:大多数细菌性肝脓肿在18周内能恢复到正常肝组织,但一些病灶在经过手术治疗以后仍需要很长时间才能愈合。在对肝内占位性病变患者进行鉴别诊断时,需要考虑到细菌性肝脓肿。

Objective:To discuss successfully treated patients with liver abscess abscess in ultrasonography.Methods:161 patients with liver abscess were selected,exclusion of Amiba liver abscess patients.Application of antibiotics for 6 weeks, such as the adaptation of the skin puncture.Follow up time:2 weeks,1 month,3 months,6 months,12 months after treatment,then 1 times every6 months.Results:1 liver abscess in 83 cases,2 cases of liver abscess in 12 cases,2 cases of liver abscess in 7 cases.The diameter of hepatic abscess was 4.2~15 cm,and 29 cases were isolated.The ultrasound follow up showed that the majority of liver abscess was relieved after treatment.For the patients with alcoholism and diabetes,the cure time was longer.Conclusion:Most bacterial liver abscess can recover to normal liver tissue in 18 weeks, but some of the lesions will need a long time to heal after surgical treatment.In the differential diagnosis of patients with hepatic lesions,bacterial liver abscess should be considered.