title: [Complex treatment of patients with cholangiogenic hepatic abscess].
abstract: Results of treatment of 47 patients with cholangiogenic hepatic abscess were analyzed. Clinical, laboratory and special methods of investigation were applied for diagnosis. The authors consider ultrasound investigation (USI), computer tomography and the abscess puncture under the USI control with subsequent cytological and bacterial control the decisive methods in diagnosis of hepatic abscess. In complex of treatment of patients miniinvasive technologies were applied--the abscess puncture, its cavity drainage under USI control transcutaneus transhepatic cholangiostomy, endoscopic papillosphincterotomy with lithotripsy and nasobiliary drainage, according to indications. Efficacy of the abscess cavity sanation, using miramistinum and decasan, was proved. In general therapy the directed transport of medicines was applied.
authors.forename: M Iu
authors.initials: MIu
authors.lastname: Nychytaĭlo
authors.forename: A V
authors.initials: AV
authors.lastname: Skums
authors.forename: Ie B
authors.initials: IeB
authors.lastname: Medvets'kyĭ
authors.forename: P V
authors.initials: PV
authors.lastname: Ohorodnyk
authors.forename: H Iu
authors.initials: HIu
authors.lastname: Mashkovs'kyĭ
authors.forename: V P
authors.initials: VP
authors.lastname: Shkarban
authors.forename: P O
authors.initials: PO
authors.lastname: Shkarban
authors.forename: Mekhraban Jafarlu
authors.initials: MJ
authors.lastname: Farzolakh
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002761:Cholangitis / Q000150:complications*; D004322:Drainage / Q000379:methods*; D006801:Humans; D008100:Liver Abscess / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D011677:Punctures / Q000379:methods*; D016717:Sphincterotomy, Endoscopic / Q000379:methods*; D013396:Suction; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
chemical_list: D000900:Anti-Bacterial Agents