What is the treatment for liver abscess?

The liver is the largest detoxification organ in the human body, processing toxins in the body all the time, breaking them down into harmless substances and excreting them out of the body. Therefore, the functional role of the liver is very important. In modern life, people's livers bear a greater health pressure, causing many people's livers to suffer from disease problems due to the high pressure. For example, liver abscess is a relatively common symptom, which poses a great threat to people's health. The occurrence of this abscess is closely related to people’s unhealthy living habits. Let’s take a look at how to treat liver abscess.

1. Bacterial liver abscess

(1) Antibiotics: For acute localized liver inflammation, when abscesses have not yet formed or when there are multiple small abscesses, active conservative medical treatment should be given. While treating the primary lesion, use high-dose antibiotics and systemic supportive therapy to control inflammation and promote the absorption of inflammation.

(2) Antibiotics + percutaneous drainage. While using systemic antibiotics, for a single larger liver abscess, puncture and aspiration of pus can be performed under the guidance of B-ultrasound. After aspirating as much pus as possible, antibiotics can be injected into the abscess cavity. Puncture and aspiration of pus can be repeated every few days. A catheter can also be placed to drain pus. At the same time, the abscess cavity can be flushed and antibiotics can be injected. The drainage tube can be removed after the abscess has shrunk and no pus has been drained out.

(3) Antibiotics + surgical drainage For larger liver abscesses that are likely to rupture, or have already ruptured and caused peritonitis, empyema, biliary liver abscess, or chronic liver abscess, surgical incision and drainage of the abscess should be actively performed while systemic antibiotics are being administered.

(4) Antibiotics + surgical resection: For patients with chronic thick-walled liver abscesses, patients with liver abscesses that do not collapse after incision and drainage, patients with dead space or sinus tracts that have long-term pus discharge and do not heal, and patients with intrahepatic bile duct stones combined with multiple liver abscesses in the left lateral lobe, and patients whose liver lobes have been severely damaged and have lost their normal functions, liver lobectomy can be performed.

2. Amebic liver abscess, fungal liver abscess

In the treatment of amoebic liver abscess and fungal liver abscess, conservative medical treatment is considered first, with systemic use of anti-amoebic and antifungal drugs. Other treatment principles are basically the same as those for bacterial liver abscess.