CT引导下经皮穿刺引流术治疗腹部脓肿

CT-guided percutaneous drainage in the treatment of abdominal abscess

目的对CT引导下经皮穿刺引流治疗腹部脓肿的效果进行临床评价。方法对32例腹部脓肿患者行CT引导下经皮穿刺引流术，抽出脓液，冲洗脓腔，并留置抗生素。结果CT引导下经皮穿刺引流术成功率为90．6％，引流后带管时间7—20d，治疗过程中无并发症发生；患者2d内体温下降，疼痛减轻，1周后复查CT，脓肿体积明显缩小。结论应用CT引导下经皮穿刺导管置入引流术治疗腹部脓肿，操作简单，准确安全，疗效较好，是一种值得推广的介入治疗手段。

Objective To evaluate the clinical effect of CT-guided percutaneous drainage in the treatment of abdominal abscess. Methods Thirty-two patients were treated with CT puntures percutane- ous drainage, aspirated pusflushing the abscess, and set the flow antibiotics. Results Success rate of CT-guided percutaneous drainage therapy was 90. 6%. Drainage catheter were kept from 7 to 20 days. No complication occurred in the course of treatment. All the patients＇ temperature dropped within 2 days, pain relieved, and the abscess volume significantly reduced after a week. Conclusions CT-guided per- cutaneous catheter drainage in the treatment of abdominal abscess, the operation is simple, accurate and has better safety, efficacy, and it is a worthy interventional treatment.