Evaluation of Medical Treatment Versus Ultrasound Guided Needle Aspiranon of Amoebic Liver Absences

摘要

This study was carried out in (all males) 40 patients with clink ally, ultrasonographically and serologically confirmed un-complicated liver abscesses and complicated liver abscesses localized in left Lobe, multiple and / or pyogonic abscesses Age range 18 to 60 years, average 35 years. One group (n=20) were treated only with metronidazole plus appropriate antimic robials and the other group (n=20) was treated with ultrasound gluded perccutancy needle aspiration with metronidazole and antimicrobial. Both the groups were monitored clinically and ultra sonographically up to six months of diagnosis. The initial response (After 15 days) was better in aspirated group (P < 0.05) but resolution of abscess after six months were similar. The clinical improvement was fast in aspirated group specially in those larger ( > 7 cm) abscess and there were no complications, percuaneus ultrasound and guided needle aspiration is safe and effective therapeutic approach to treat liver abscesses which fastens clinical recovery and accelerates resolution percutaneus atheter dringe is more effective in complicated abscesses but it is more hazardous.