Useche E, Salazar S, Vetencourt R, Monzón R
Servicio de Vías Digestivas, Hospital Antonio María Pineda, Barquisimeto.
G E N. 1991 Jan-Mar;45(1):9-13.
Intra-abdominal abscesses were treated by percutaneous needle drainage. Diagnosis was based, in 100% of the cases, on clinical findings, flat abdomen X-rays and ultrasound. 71% had previous abdominal surgery and 17% had abdominal trauma. The abscesses were located as follows: 29% in the liver, 24% in right sub-diaphragmatic area, 41% had several locations and 6% was pyogenic collection in de common biliary duct. The average duration of drainage was 9 days. Fifteen out of the 17 procedures were successful (88%). Predominant germs obtained in cultures of the drained material were E. Coli and P. Aeruginosa.
the above experience demonstrate that percutaneous drainage in intra-abdominal abscesses is a secure and effective procedure with high rate of success and low of morbidity and mortality. It must be considered as treatment of choice.
腹腔内脓肿采用经皮穿刺引流治疗。100%的病例诊断基于临床表现、腹部平片和超声检查。71%的患者既往有腹部手术史，17%有腹部外伤史。脓肿分布如下：29%位于肝脏，24%位于右膈下区域，41%为多处脓肿，6%为胆总管脓性积液。平均引流时间为9天。17例手术中有15例成功（88%）。引流物培养中获得的主要病原菌为大肠杆菌和铜绿假单胞菌。
上述经验表明，腹腔内脓肿的经皮引流是一种安全有效的方法，成功率高，发病率和死亡率低。应将其视为首选治疗方法。
