肝脓肿

Objective To evaluate CT features of hepatic abscess and its pathologic basis.

目的：探讨肝脓肿的CT征象，提高肝脓肿的诊断正确率。

The abscesses were classified into there broad categories:(1) multiple small abscesses less than 20mm(7patients),(2)unilocular abscesses (14 patients),and(3)complex or multiseprated abscesses(5 patients).

脓肿直径＜20mm多发小脓肿7例，单发脓肿14例，复杂多间隔脓肿5例。作者认为脓肿内积气、＂簇状征＂和＂双靶征＂为肝脓肿特征性表现。

Objective To analyze MR findings of liver abscesses and to evaluate diagnosis and differential diˉagnosis value of MR.Methods The plain MRI and enhanced MRI were performed in all12liver abscesses.

目的 分析肝脓肿的MR表现，探讨MR的诊断和鉴别诊断的价值方法肝脓肿患者12例均行MR平扫及增强后动态扫描。

The indications for the initial CT were the staging of small-bowel tumor and colon cancer, nonspecific abdominal discomfort, lier abscess, confirmation of the residual stone after open cholecystectomy and choledocholithotomy, and common bile duct stone and lier abscess.

所有病人均发现胰腺有异常，初始CT检查有小肠肿瘤和结肠癌、非特异性腹部不适、肝脓肿、胆囊切除术和胆总管石切除术后的残余结石、总胆管结石伴肝脓肿。

5 cases underwent grainage by percutaneous liver puncture under guiding of X-fluoroscopy to treat liver abscess, in which there were 3 males and 2 females, age from 21 to 72 diagnosed by CT and ultrasound.

2003年以来我们收治肝脓肿5例，在X线透视引导下经皮肝穿刺置管引流治疗，本组5例。男3例，女2例；年龄21～72岁；均进行了CT、B超检查确诊。

Results: All four cases were misdiagnosed as gastric ulcer, hepatic abscess, hepatic tumor, or pancreatic tumor, and three of them underwent operation detection for alimentary tract neoplasma, but the final histopathologic examlnations showed pheochromocytomas in all the cases.

结果：4例患者分别被误诊为&胃溃疡&、&肝脓肿&、&肝肿瘤&、&胰腺肿瘤&等，3例以消化道肿瘤行手术探查，而后病检均为嗜铬细胞瘤。

None of 10 cases had the so-called typical findings such as the marginal "Double-target sign" and the even liquidizing necrotic area, and containing gas zone within the lesion.Results:Most of AHA are early hepatic abscess, and the precontrast CT showed nonspecific features.

材料与方法：将10例已证实的不典型肝脓肿CT图像与手术病理所见及同期证实的一组肝癌CT图像对照分析，10例均无病灶周边&双靶征&及病灶内均匀液化坏死和积气等典型肝脓肿CT表现。

To diagnose liver- cell carcinoma 212 cases, in- liver metastasis carcinoma 8 cases, haemangioma 5 cases, bacterial liver abscess 3 coses,amebic liver abscess 2 cases.

病理诊断肝细胞癌212例、肝内转移癌8例、血管瘤5例、细菌性肝脓肿3例、阿米巴性肝脓肿2例。

Pathogeny, main clinical manifestations, diagnosis, treatment and differential diagnosis of bacterial liver abscess ; surgical treatment of amebic liver abscess and main differential points between bacterial liver abscess and amebic liver abscess.

细菌性肝脓肿的致病原因，主要临床表现，诊断与治疗，细菌性肝脓肿的鉴别诊断，阿米巴肝脓肿的外科治疗以及细菌性肝脓肿与阿米巴肝脓肿的鉴别要点。

Target sign,cluster sign and air in the cavity were special CT manifestations of hepatic abscess.Abscess caused by different etiologies had different features,which included infection by blood stream or bile duct abnormalities,amebic liver abscess,and hepatocellular carcinoma complicated with suppurative infection after treated with TAE.Conclusion The CT manifestations of hepatic abscess were characteristic.

随着抗菌素的广泛应用，肝脓肿的炎症演变的不同阶段，CT征象表现多样，虽有一些特征性征象，但诊断仍存在一些问题，为提高术前诊断的正确性，探讨CT征象的特征性改变，本文收集经临床证实的肝脓肿 5 4例分析如下。1 材料与方法本组男 3 2例，女 2 2例，年龄 2 9～ 82岁，平均 5 9.5岁。

I didn't watch TV last night, because it .

昨晚我没有看电视，因为电视机坏了。

Since this year, in a lot of villages of Beijing, TV of elevator liquid crystal was removed.

今年以来，在北京的很多小区里，电梯液晶电视被撤了下来。