Civardi G, Fornari F, Cavanna L, Sbolli G, Di Stasi M, Buscarini L
Gastroenterology Service, Ospedale Civile, Piacenza, Italy.
Gastrointest Radiol. 1990 Summer;15(3):245-50. doi: 10.1007/BF01888786.
Fifty patients underwent ultrasonically guided percutaneous drainage (US-GPD) either with needle aspiration or catheter drainage. The procedures resulted in 70% complete recovery, 20% partial success and 10% of failures. The same patients were followed with clinical examination and sonography for a mean time of 36.3 months (minimum follow-up: 12 months). During the follow up period, 10 relapses occurred and one patient, considered for surgery after partial percutaneous treatment of a pyogenic liver abscess, recovered completely under conservative treatment. An analysis of the factors potentially related to the recurrence was made. It was found that one-step needle aspiration of abdominal abscesses and percutaneous treatment of chronic pancreatic pseudocysts are more prone to relapses. We conclude that US-GPD is an efficacious therapy for abdominal fluid collections, but an adequate drainage technique and a careful selection of the patients is crucial to avoid the possibility of relapse.
50例患者接受了超声引导下经皮引流（US-GPD），采用针吸或导管引流。这些操作导致70%完全恢复，20%部分成功，10%失败。对相同患者进行了临床检查和超声检查，平均随访时间为36.3个月（最短随访时间：12个月）。在随访期间，发生了10例复发，1例在化脓性肝脓肿经皮部分治疗后考虑手术的患者在保守治疗下完全康复。对可能与复发相关的因素进行了分析。发现腹部脓肿的一步针吸和慢性胰腺假性囊肿的经皮治疗更容易复发。我们得出结论，US-GPD是治疗腹腔积液的有效方法，但适当的引流技术和仔细选择患者对于避免复发的可能性至关重要。
