CAJ | 학술논문

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。
목적：탐토간농종성공치유환자잔여농종적초성표현。방법：수치간농종환자161례。배제아미파간농종환자。응용항생소치료6주，여유괄응증칙행경피천자。초성수방시간：치료후2주、1개월、3개월、6개월、12개월，지후매6개월1차。결과：1개간농종83례，2개간농종12례，＞2개간농종7례。간농종직경4.2～15 cm，분리도치병균29례。초성수방발현，치료후대다수간농종득이완해，후주환자、당뇨병환자치유시간교장。결론：대다수세균성간농종재18주내능회복도정상간조직，단일사병조재경과수술치료이후잉수요흔장시간재능유합。재대간내점위성병변환자진행감별진단시，수요고필도세균성간농종。
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 every 6 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.