Erasmus J J, McAdams H P, Rossi S, Kelley M J
Department of Radiology, Duke University Medical Center, Durham, North Carolina 27710, USA.
Radiol Clin North Am. 2000 Mar;38(2):385-93. doi: 10.1016/s0033-8389(05)70169-x.
The radiologist's role in the management of intrapulmonary air and fluid collections is becoming more important. Improvements in percutaneous interventional techniques now allow the radiologist to offer patients an alternative treatment option with less morbidity and mortality than surgical resection. The use of CT allows optimal catheter placement and enables safe and effective percutaneous evacuation of intrapulmonary collections. In summary, image-guided percutaneous catheter drainage should (1) be the initial procedure performed to diagnose and treat lung abscesses not responding to conservative therapy; and (2) because of its effectiveness and safety, be considered as a treatment option in the management of symptomatic patients with intrapulmonary mycetomas.
放射科医生在肺内气体和液体积聚的管理中所起的作用正变得越来越重要。经皮介入技术的改进使放射科医生能够为患者提供一种替代治疗选择，其发病率和死亡率低于手术切除。CT的应用可实现最佳的导管放置，并能安全有效地经皮清除肺内积液。总之，影像引导下经皮导管引流应：（1）作为对保守治疗无反应的肺脓肿进行诊断和治疗的初始操作；（2）因其有效性和安全性，应被视为有症状的肺内曲菌球患者管理中的一种治疗选择。
