Sparks F C, Strauss E B, Corey J M
Department of Surgery, Norwalk Hospital.
Conn Med. 1990 Jun;54(6):305-7.
Diverticular abscess is a common acute abdominal problem in patients over 50 years of age and may require single or multiple operations. Percutaneous drainage of the abscess may permit a single operation in selected patients, making a colostomy unnecessary. This approach is probably underutilized and should become the procedure of choice in selected patients with no other medical problems such as immunosuppression. We report two patients, including one with a fecal fistula, in whom percutaneous drainage converted a situation in which two operations, one with a colostomy, would have been required, to a single operation without a colostomy. This approach saves about $7,000 per patient. The avoidance of colostomy and the cost savings make this approach attractive in selected patients with diverticular abscesses.
憩室脓肿是50岁以上患者常见的急性腹部问题，可能需要进行一次或多次手术。对脓肿进行经皮引流可使部分患者仅需接受一次手术，无需进行结肠造口术。这种方法可能未得到充分利用，对于没有免疫抑制等其他医疗问题的特定患者，应成为首选治疗方法。我们报告了两名患者，其中一名患有粪瘘，经皮引流将原本需要进行两次手术（其中一次需做结肠造口术）的情况转变为无需结肠造口术的单次手术。这种方法可为每位患者节省约7000美元。避免结肠造口术以及节省费用使得这种方法对于患有憩室脓肿的特定患者具有吸引力。
