Gain T, Lorenz R, Classen M
II. Medizinische Klinik und Poliklinik, Technischen Universität München.
Med Klin (Munich). 1990 Oct 15;85(10):577-80.
13 patients with pyogenic liver abscess and five patients with amoebic abscess underwent percutaneous drainage of the abscesses using the Seldinger (n = 8) or trocar technique (n = 11). The results showed that the trocar method was easier and faster to perform and well tolerated by the patients. No complications were observed despite of one case of transient peritonitis caused by a dislocated catheter. One patient with pyogenic liver abscess died of septic shock. All other patients were successfully treated, using local drainage and systemic antibiotic therapy.
13例化脓性肝脓肿患者和5例阿米巴肝脓肿患者采用Seldinger技术(n = 8)或套管针技术(n = 11)对脓肿进行了经皮引流。结果显示,套管针方法操作更简便、快捷,患者耐受性良好。尽管有1例因导管移位导致短暂性腹膜炎,但未观察到其他并发症。1例化脓性肝脓肿患者死于感染性休克。所有其他患者均通过局部引流和全身抗生素治疗成功治愈。