General Hospital of Chest Diseases of Athens, Department of Medical Imaging and Interventional Radiology, 152 Mesogeion Str, 11527 Athens, Greece.
Eur J Radiol. 2012 Mar;81(3):562-5. doi: 10.1016/j.ejrad.2011.02.048. Epub 2011 Apr 7.
To determine the efficiency and safety of the percutaneous aspiration and drainage of rare touberculous cold abscesses under CT guidance.
We retrospectively studied 63 cases of 44 patients, treated in our hospital during the last two years. They suffered from tuberculous infection complicated with tuberculous cold abscesses variously located. All these patients underwent percutaneous aspiration and drainage under CT imaging, following the trocar puncture technique. The catheter remained in place for about a week. A follow up CT scan was performed in all cases before the catheter removal. Some of the patients were under anti tuberculosis medication.
All the patients had a successful recovery from the abscesses. There were no major or minor complications observed. No recurrence occurred until today.
CT guided percutaneous aspiration and drainage of tuberculous cold abscesses is a safe, minimal invasive and effective method of treatment. Drainage and specific antituberculosis therapy leads to a satisfactory conclusion.
探讨 CT 引导下经皮穿刺抽吸引流治疗少见部位结核寒性脓肿的效果和安全性。
回顾性分析我院近 2 年收治的 44 例 63 个部位结核寒性脓肿患者的临床资料，均采用 CT 引导下经皮穿刺抽吸引流术，根据脓肿位置选择不同的入路，采用套管针穿刺抽吸，置管引流 1 周左右，拔管前行 CT 复查。部分患者同时接受抗结核药物治疗。
所有患者脓肿均治愈，无严重或轻微并发症发生，随访无脓肿复发。
CT 引导下经皮穿刺抽吸引流治疗结核寒性脓肿是一种安全、微创、有效的治疗方法，引流和抗结核药物治疗可获得满意的效果。
