肝切除是否仍然是患有肝炎的患者的可行的选择? 一个单一中心体验
Aiman Obed1, Mohammad Abuassi2,3, Saqr Alsakarneh4,3
1Hepatobiliary and Transplant Surgery Department, Jordan Hospital, Amman, Jordan.
Gastroenterology research
|June 23, 2023
概括
发烧性肝 (PLA) 是一种罕见但严重的感染. 虽然抗生素和排水是主要的治疗方法,但部分肝切除可以成为复杂病例的治疗选择.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
- 外科胃肠道外科手术
背景情况:
- 发烧性肝 (PLA) 是不常见的,但可能危及生命的感染.
- 目前的主要治疗方法包括抗生素和皮肤通道排水,而手术只适用于耐火病例.
研究的目的:
- 在约旦医院审查PLA治疗的经验.
- 为了确定需要部分肝切除作为治愈措施的条件.
主要方法:
- 在2014年10月至2020年10月期间入院的43名PLA患者的回顾性审查.
- 对需要手术干预的患者的病历分析,包括成像 (CT) 和微生物学数据.
- 专注于接受部分肝切除的病例.
主要成果:
- 在43名PLA患者中,有4人需要进行手术.
- 原因包括创伤,肝细胞癌的化学栓塞后,和异常.
- 由于治疗失败或程序限制,所有四名患者都接受了部分肝切除,实现了临床改善.
结论:
- 抗微生物和干预疗法是PLA治疗的主要支柱.
- 部分肝切除仍然是一个可行的和治愈选择选择选择的PLA患者不响应或不适合少侵入性手术.
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