Busel D, Villarroel M
Unidades de Radiología y Epidemiologia, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile.
Rev Med Chil. 1991 Apr;119(4):428-30.
The diagnosis of retroperitoneal abscess was made by ultrasound studies in 16 patients. Ultrasound guided percutaneous drainage followed in 10 patients confirming the diagnosis in all. A catheter was used in 8 and needle aspiration in 2. The 6 remaining patients were operated on. Patients with percutaneous drainage had better bacteriologic diagnosis and significantly shorter hospital stays than those who were submitted to immediate operation. Thus, ultrasound is an effective means for diagnosis and treatment of retroperitoneal abscess.
16例患者通过超声检查确诊为腹膜后脓肿。10例患者随后接受了超声引导下经皮引流,均证实了诊断。其中8例使用导管引流,2例采用针吸引流。其余6例患者接受了手术治疗。与立即接受手术的患者相比,接受经皮引流的患者细菌学诊断效果更好,住院时间显著缩短。因此,超声是诊断和治疗腹膜后脓肿的有效手段。