経皮的ドレナージの有無による肝膿瘍の臨床経過の検討

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  • ケイヒテキ ドレナージ ノ ウム ニ ヨル カン ノウヨウ ノ リンショウ ケイカ ノ ケントウ
  • Clinical lnvestigation of Liver Abscess

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A retrospective review of 18 patients with liver abscesses whom we experienced in a recent 6-year period was carried out. At first these patients were divided into two groups, cystic pattern group and solid pattern group by the CT findings. Percutaneous transhepatic abscess drainage （PTAD） was performed in 5 patients of the cystic pattern group （group-A）. And only systemic antibiotics therapy was done in 5 patients of the cystic pattern group （group-B）, and in 8 patients of the solid pattern group （group-C）. Clinical courses after treatment, temperature, CRP value and WBC counts, were compared between these three groups. The temperature, CRP value and WBC counts of group-A were improved earlier than those of other two groups. Especially the temperature of group-A was significantly lower than that of group-B at 8- and 12-day, and that of group-C at 8- and 10-day after treatment. CRP value of group-A was also significantly lower than other two groups at 1- and 2-week after treatment. The feverish period of group-A （4.2±2.4 days） was significantly shorter than that of group-C （16.8±14.2days）. And the period of CRP-positive （21.2±4.3 days） and of systemic antibiotics therapy （25.2±4.3 days） of group-A were significantly shorter than those of group-B（45.6±13.1days, 43.8±14.2 days）. It is concluded that PTAD is an effective technique in improving the early clinical condition in patients with liver abscesses. And PTAD can shorten the period of hospitalization and decrease the medical cost.

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