腹部脓肿的超声导向针吸和置管引流

ULTRASOUND-GULDED PERCUTANEOUS ASPIRATION AND DRAINAGE OF ABDOMINAL ABSCESS

多年来,腹部脓肿的传统治疗是经皮穿刺,盲目针吸抽脓或手术引流。1973年,Pedersen首次应用超声导向针吸治疗肾脓肿以来,国外相继有采用超声或CT导向,对腹部脓肿作诊断性穿刺和引流的报道,並认为在部分病例可取代手术而为首选疗法。本文报道我院16例腹部脓肿。

Under ultrasound-guided sixteen abscesses were treated with one or more aspiration and were drained by mean of a indwelling catheter to the abscesses ranged from 2,6 cm to 10 cm. All of the patients recieved the concomitant therepy of intra-cavity antibiotics. 10 abscesses(71.43%) were satisfactory evacuated with surgery avoided, partial success was obtained in four cases, in these patients, operation was necessary because of larger and septal abscesses. Two deaths were attributed to primary hepatic or pancreatic carcinoma. The cures and partial success rate totalled 100%. All sixteen abscess cavities were accurately entered without complication or injury of adjacant normal organs. The mean duration of treatment was 23.7 days (range from 16 to 33 days).