肝脓肿的治疗现状:叙述性综述

Kumar H. R., Soma M., Saw M. O.
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引用次数: 0

摘要

肝脓肿可分为化脓性肝脓肿和阿米巴性肝脓肿。引起化脓性肝脓肿的常见微生物包括大肠杆菌,而阿米巴肝脓肿则由组织溶解恩塔米巴虫引起。诊断可通过肝脏超声波、计算机断层扫描和磁共振成像进行。治疗可分为内科治疗(包括经皮引流和静脉注射抗生素)和外科治疗(包括开腹或腹腔镜手术引流)。手术引流适用于药物治疗失败的患者。我们撰写了这篇综述文章,就经皮引流术和手术引流术的作用探讨肝脓肿的当前治疗方法。
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Current Management of Liver Abscess: A Narrative Review
Liver abscess can be divided into pyogenic and amoebic liver abscess. The common organisms that cause pyogenic liver abscess include Escherichia Coli, with amoebic liver abscess being caused by Entamoeba histolytica. The diagnosis is made by ultrasound, computerized tomography, and magnetic resonance imaging of the liver. The treatment can be divided into medical therapy which involves percutaneous drainage and intravenous antibiotics, and surgical therapy which includes surgical drainage either by open or laparoscopic surgery. Surgical drainage is indicated for patients who have failed medical therapy. We have conducted this review article to look at the current management of liver abscess with regards to the role of percutaneous drainage and surgical drainage.
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