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阿米巴肝脓肿(简称ALA)是肠阿米巴病最常见的并发症,其发生率国内资料约在1.8～46％之间。由于ALA的临床表现复杂多样,而且脓肿所在部位和病情有较大差别,因而常易误诊,导致脓肿向周围组织破溃。国外曾有报道,在病理证实的79例ALA中生前能作出正确诊断者仅占40％。国内报告不典型病例误诊率亦可高达43.6～17％。近年来由于新诊断技术应用、免疫学检查以及抗阿米巴药物的使用,因此对临床诊断及治疗效果有较大改善。兹就本病诊断与治疗若干进展综述如下:
Amebic liver abscess (referred to as ALA) is the most common complication of intestinal amoebiasis, the incidence of domestic data about 1.8 to 46%. Due to the complex and diverse clinical manifestations of ALA, and the location of the abscess and the disease there is a big difference, so often misdiagnosed, leading to rupture of the surrounding tissue abscess. Abroad has been reported in 79 cases of pathologically confirmed ALA can make the correct diagnosis before birth accounted for only 40%. The domestic report of atypical cases misdiagnosis rate can be as high as 43.6 ~ 17%. In recent years due to the application of new diagnostic techniques, immunological tests and the use of anti-amoebic drugs, so the clinical diagnosis and treatment has greatly improved. Here are some advances in the diagnosis and treatment of the disease are summarized as follows: