Baker M E, Blinder R A, Rice R P
Crit Rev Diagn Imaging. 1986;25(3):233-78.
With today's advanced technology, the clinician and radiologist have a number of techniques with which to evaluate the abdomen for fluid collections and/or abscesses. Three points are clear from the plethora of literature concerning this subject: the need to individualize the clinical and imaging approach to each patient suspected of an abnormal fluid collection or abscess, the need to individualize the imaging procedure based upon what is done best at the institution, and the need for percutaneous aspiration of all fluid collections for diagnosis. No single imaging test is totally sensitive or specific for the detection of an infected fluid collection. Overall, CT probably does provide the most accurate means to detect an intra-abdominal abscess. Because of this, and because it is less operator dependent than ultrasound, CT is used most often as the procedure of choice at our institution.
凭借当今的先进技术，临床医生和放射科医生拥有多种用于评估腹部是否存在液体积聚和/或脓肿的技术。从关于该主题的大量文献中可以明确三点：对于每个疑似存在异常液体积聚或脓肿的患者，需要个体化临床和影像学检查方法；需要根据机构中最擅长的方式来个体化影像学检查程序；需要对所有液体积聚进行经皮抽吸以进行诊断。没有单一的影像学检查对检测感染性液体积聚完全敏感或特异。总体而言，CT可能确实提供了检测腹腔内脓肿最准确的方法。因此，并且由于它比超声对操作者的依赖性小，在我们机构中CT最常被用作首选检查方法。
