术后腹部脓肿经窦道的介入引流治疗

Interventional drainage through sinus tracts for the treatment of postoperative abdominal abscess

目的探索治疗术后腹部脓肿的一种新方法。方法通过原引流管或窦道造影了解脓腔位置,采用介入技术置放10.2F～16F单腔或双腔引流管。结果15例患者共18个脓腔置管引流的成功率100%,引流7～65天后脓肿均得到治愈。结论该方法具有引流确切、创伤小、安全、经济的特点,适用于引流管移位或者脱落形成窦道、引流不畅的各类术后腹腔脓肿。

Objective To explore a new way to drain a postoperative abdominal abscess. Method Drainage catheter and sinography were employed to locate the site of the abscess, and a 10. 2F-16F catheter with single or double lumen was inserted into the abscess by interventional technique. Result A 100% success was obtained for the 15 patients with 18 abscesses by inserting the drainage catheters, and all the abscesses were cured 7-65 days after drainage. Conclusions Compared with the surgical or percutaneous drainage, the present method is less traumatic, safer, more economical and effective, and it could be applies to all kinds of postoperative intraperitoneal abscesses which could not been drained adequately or with formation of sinus because of displacement of drainage tube.