腹腔内脓肿——经皮导管引流与手术治疗
Intraabdominal abscesses--percutaneous catheter drainage versus operative treatment.
作者信息
Treutner K H, Truong S, Klose K, Schubert T, Schumpelick V, Günther R W
机构信息
Chirurgische Klinik, Medizinische Fakultät der Rheinisch-Westfälischen Technischen Hochschule Aachen.
出版信息
Klin Wochenschr. 1989 May 2;67(9):486-90. doi: 10.1007/BF01721674.
From 65 patients with 73 abscesses 38 were treated by operation and 27 by PCD. The mean duration of drainage was 6.8 days (OP) and 7.4 days (PCD) respectively. In the surgical group 2 patients needed reintervention and 1 died due to sepsis. In the PCD group 1 patient had to be operated on because of insufficient drainage and 1 died after perforation of the colon. With modern techniques of imaging (Ultrasound, CT) PCD is a useful tool in the therapeutic regimen of intraabdominal abscesses. PCD has to be considered as definitive treatment or preparation for surgical eradication. Above all indication to PCD depends on localization and cause of the abscess.
在65例患有73处脓肿的患者中，38例接受了手术治疗，27例接受了经皮导管引流（PCD）治疗。引流的平均持续时间分别为6.8天（手术组）和7.4天（PCD组）。手术组中有2例患者需要再次干预，1例因败血症死亡。PCD组中有1例患者因引流不足而不得不接受手术，1例在结肠穿孔后死亡。借助现代成像技术（超声、CT），PCD是腹腔内脓肿治疗方案中的一种有用工具。PCD必须被视为确定性治疗或手术根除的准备措施。最重要的是，PCD的适应证取决于脓肿的位置和病因。
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