Hepatic arterial infusion of antibiotics for the treatment of pyogenic liver abscess unsuitable for puncture drainage management
10.3969/j.issn.1008-794X.2014.08.016
- VernacularTitle:肝动脉灌注抗生素治疗不宜穿刺引流的肝脓肿32例
- Author:
Changsheng SHI
;
Qing YANG
;
Xixiang YU
;
Chijin XIAO
;
Guoqing ZHU
;
Bingru ZHENG
- Publication Type:Journal Article
- Keywords:
bacterial liver abscess;
hepatic arterial perfusion;
interventional therapy;
unsuitable for puncture drainage
- From:Journal of Interventional Radiology
2014;(8):719-721
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effect of hepatic artery perfusion of antibiotics with that of intravenous administration of antibiotics in treating pyogenic liver abscess which is unsuitable for puncture drainage management. Methods Between October 2010 and October 2013, a total of 32 cases with bacterial liver abscesses which were unsuitable for puncture drainage management were encountered at the Third Affiliated Hospital of Wenzhou Medical University. The patients were divided into group A (n = 15) and group B (n = 17). Hepatic arterial perfusion of antibiotics was carried out in the patients of group A, while intravenous administration of antibiotics was employed in the patients of group B. Percutaneous puncture drainage was adopted in the patients when their imaging examination showed liquefaction within the lesion. Results The hospitalization time, recovery time of body temperature, hemogram recovery time and liquefaction extent of the lesion in group A were much better than those in group B , and the differences were statistically significant (P < 0.05). Conclusion Hepatic arterial perfusion of antibiotics is an important and effective treatment for bacterial liver abscesses.
