经皮导管引流治疗急性脓胸。使用CT扫描、荧光透视检查和猪尾引流导管提高治愈率。

Percutaneous catheter drainage for acute empyema. Improved cure rate using CAT scan, fluoroscopy, and pigtail drainage catheters.

作者信息

Kerr A, Vasudevan V P, Powell S, Ligenza C

机构信息

Department of Radiology, Woodhull Medical and Mental Health Center, Brooklyn, NY.

出版信息

N Y State J Med. 1991 Jan;91(1):4-7.

PMID:1994309

Abstract

Percutaneously inserted pigtail nephrostomy catheters were used to treat empyemas in 12 patients. Thoracic computed tomographic (CT) scan and fluoroscopy were used to localize precisely and place the catheters into loculated collections of fluid. Percutaneous catheter drainage (PCD) of empyema was successful in seven of seven patients (100%) in whom standard tube thoracostomy (STT) had initially failed and in three of five patients (60%) who had PCD as the initial drainage procedure. Overall, PCD was successful in treating empyema in ten of 12 patients (83%). The procedure was well tolerated and there were no complications. PCD is a safe and effective method for drainage of loculated empyemas as the initial procedure or after STT has failed.

摘要

经皮插入猪尾状肾造瘘导管用于治疗12例脓胸患者。采用胸部计算机断层扫描（CT）和荧光透视精确定位并将导管置入局限性积液中。在7例最初标准胸腔闭式引流（STT）失败的患者中，经皮导管引流（PCD）成功7例（100%）；在5例最初采用PCD作为引流方法的患者中，成功3例（60%）。总体而言，12例患者中有10例（83%）PCD治疗脓胸成功。该操作耐受性良好，无并发症。PCD作为初始治疗方法或在STT失败后，是一种安全有效的局限性脓胸引流方法。