Humann B, Sommer H J, Köster O
Chirurgischen Universitätsklinik und -poliklinik, Universität Bonn.
Zentralbl Chir. 1989;114(16):1072-80.
The results indicate that the low risk percutaneous drainage of subphrenic abscesses is only feasible in carefully selected patients. The surgical intervention remains the method of choice for the drainage of subphrenic abscesses in conditions such as multiple and complicated abscesses, unfavourable access to the abscess cavities or other pathological conditions. An early and decisive diagnosis is crucial for effective treatment of subphrenic abscesses either by percutaneous drainage or surgical intervention and antibiotic therapy.
结果表明,低位经皮穿刺引流膈下脓肿仅在精心挑选的患者中可行。对于多发和复杂脓肿、难以进入脓肿腔或存在其他病理状况等情况下的膈下脓肿引流,手术干预仍是首选方法。早期且果断的诊断对于通过经皮引流、手术干预及抗生素治疗有效治疗膈下脓肿至关重要。