Golfieri R, Cappelli A
Malpighi Radiology Unit Department of Digestive Diseases and Internal Medicine Policlinico Sant'Orsola-Malpighi, University of Bologna, Via Albertoni 15, I-40138, Bologna, Italy.
Tech Coloproctol. 2007 Sep;11(3):197-208. doi: 10.1007/s10151-007-0354-x. Epub 2007 Aug 3.
Percutaneous abscess drainage (PAD) of the lower abdomen and pelvis has been reported to reduce morbidity and mortality, shorten hospital stay and cut costs compared to a surgical approach. However, the wide differences in outcome reported by different authors indicate the need for an overview and further evaluations. This review evaluates each point of the procedure to explain the possible causes for such discrepancies in results.
We performed a PubMed search of outcomes for percutaneous abscesses drainage, focusing on deep pelvic collections, which represent the most difficult task, searching among papers published from 1981 to 2006.
Ninety-nine papers were selected. Most authors emphasized that the most important steps of the care process are: (a) patient selection; (b) indications and contraindications; (c) choice of the best access route; (d) procedure performance; and (e) outcome (success and complication rates).
PAD is a safe and effective alternative to surgery for draining deep infected fluid collections, with a higher success rate, lower complication rate and shorter hospital stay compared to surgical drainage. Meticulous technique and careful access planning seem to be the two most important factors affecting the outcome.
与手术方法相比，经皮脓肿引流术（PAD）治疗下腹部和盆腔疾病已被报道可降低发病率和死亡率，缩短住院时间并降低成本。然而，不同作者报道的结果差异很大，这表明需要进行综述和进一步评估。本综述评估了该手术的各个环节，以解释结果差异的可能原因。
我们在PubMed上搜索了经皮脓肿引流的结果，重点关注深部盆腔积液，这是最困难的任务，搜索了1981年至2006年发表的论文。
共筛选出99篇论文。大多数作者强调，护理过程中最重要的步骤是：（a）患者选择；（b）适应证和禁忌证；（c）选择最佳入路；（d）手术操作；（e）结果（成功率和并发症发生率）。
对于引流深部感染性积液，PAD是一种安全有效的手术替代方法，与手术引流相比，成功率更高，并发症发生率更低，住院时间更短。精细的技术和仔细的入路规划似乎是影响结果的两个最重要因素。
