超声引导下经皮穿刺置管引流术治疗腹腔脓肿

Ultrasound-guided Percutaneous Catheter Drainage in the Treatment of Abdominal Abscess

目的:探讨超声引导下经皮穿刺置管引流术(PCD)治疗各种腹腔脓肿的临床价值。方法:117例腹腔脓肿的患者,经超声引导下对脓腔进行PCD治疗,治疗后采用超声观察随访疗效。结果:117例采用超声引导下PCD治疗腹腔脓肿的患者,均一次性穿刺置管引流成功,一次置管成功率达100%。成功置管的117例患者均于引流后72h内症状及体征得到不同程度的缓解,其中51例于24h内明显缓解,39例于48h内明显缓解,疗效十分显著,所有病例术后均未出现明显并发症。结论:超声引导下PCD治疗腹腔脓肿能迅速有效缓解患者的严重症状及体征,具有创伤小、准确性高及操作简便等优势,可作为各种腹腔脓肿的首选治疗方法。

@@@@Objective:To investigate the clinical value of ultrasound-guided percutaneous catheter drainage(PCD)in the treatment of various abdominal abscess.Method:117 cases of patients with abdominal abscess,ultrasound-guided PCD treatment to the abscess cavity,follow-up of curative effect after treatment was observed by ultrasonography.Result:117 cases of patients with ultrasound-guided PCD in the treatment of abdominal abscess, all cases could be performed successfully in the first time,and the first time success rate was 100%.117 patients who had been drained successfully within 72 hours of symptoms and signs had different degrees of relief,including 51 cases obviously alleviate within 24 hours,39 cases in 48 hours significant relief,the curative effect was very significant,all cases did not appear obvious complications after treatment of PCD.Conclusion:Ultrasound-guided PCD in the treatment of abdominal abscess can quickly and effectively relieve severe symptoms and signs of patients,with less trauma,high accuracy and simple operation and other advantages,can be used as the preferred method of treatment of various abdominal abscess.