Procaccino J A, Lavery I C, Fazio V W, Oakley J R
Cleveland Clinic Foundation, Department of Colorectal Surgery, Ohio 44195-5044.
Dis Colon Rectum. 1991 Sep;34(9):784-9. doi: 10.1007/BF02051071.
From 1961 to 1989, 67 patients underwent various surgical procedures for psoas abscess. Retrospective analysis was undertaken in an effort to determine optimal surgical therapy. Forty patients were cured with one operation. Twenty-one patients required two operations, four patients required three operations, and two patients required more than three operations. The reason for failure of treatment was failure to resect the diseased bowel or to drain the psoas abscess adequately. A technique to recognize and treat the abscess definitively will be illustrated. The most common etiologies were Crohn's disease in 49 patients, postoperative sepsis in eight patients, and complications of renal disease in four patients. The length of hospital stay ranged from 5 to 392 days (mean, 26 days). There were two deaths. Failure to recognize and treat psoas abscess results in considerable morbidity.
1961年至1989年期间，67例患者因腰大肌脓肿接受了各种外科手术。进行回顾性分析以确定最佳手术治疗方法。40例患者经一次手术治愈。21例患者需要进行两次手术，4例患者需要进行三次手术，2例患者需要进行三次以上手术。治疗失败的原因是未能切除病变肠段或未能充分引流腰大肌脓肿。将说明一种明确识别和治疗脓肿的技术。最常见的病因是49例克罗恩病、8例术后败血症和4例肾病并发症。住院时间为5至392天（平均26天）。有两例死亡。未能识别和治疗腰大肌脓肿会导致相当高的发病率。
