腹部手术后腹腔脓肿处理的临床观察

Experience in the Diagnosis and Treatment of 43Patients with Abdominal Abscess Following Abdominal Operation

目的 :观察腹腔脓肿患者的诊断和治疗结果。方法 :回顾性分析 1992～ 2 0 0 1年诊治的 4 3例腹腔脓肿患者的临床资料。结果 :腹部手术后腹腔脓肿 4 3例 ,经 B超及 CT检查确诊后 ,根据脓肿部位及大小分别药物治疗 14例 ,脓肿穿刺抽脓 12例 ,脓肿置管引流 7例 ,手术引流 10例 ,均治愈。结论 :腹腔脓肿是腹部手术后常见的并发症 ,应注意预防。

Objective: To summarize the experience in the diagnosis and treatment of 43 patients with abdominal abscess. Methods:A retrospective analysis was made to the clinical data of the diagnosis and treatment of the 43 patients with abdominal abscess from 1992 to 2001. Results:Forty three patients with abdominal absecss after abdominal operation were diagnosed through B mode ultrasound tomography and CT. According to the location and size of the abscess, 14 cases were treated with antibiotics, 12 with centesis , 7 with PCD, 10 received debridement and drainage. All were cured. Conclusion: Abdominal abscess is a common complication after abdominal operation . Prevention in operation, early diagnosis and effective drainage are important.