Bazzocchi M, Stacul F, Ricci C, Tuttobene P, Sasso F
Radiol Med. 1986 Nov;72(11):841-7.
Percutaneous puncture with echographic guide was performed in 37 patients with suspected abdominal abscesses. The abscess has been confirmed in 31 cases and it has been related to previous surgery in 21. In 3 cases the 3 small cavities were evacuated by a single-stage aspiration; in the other cases different drainage catheters, in relation to the size and the content of the cavities have been employed. Benefits of proteolytic agents, irrigation with saline solution and permanent aspiration are stressed. Successful drainage avoiding surgery was achieved in 23/31 patients (74%), and positive results have been obtained in multiple abscesses, multilocular abscesses and infected haematomas as well. A partial success was achieved in 3 cases (10%): the patients were submitted to surgery after a clinical improvement. Two complications occurred (bowel perforation and small liver laceration). The percutaneous drainage turned out to be a technique of choice in the great majority of abdominal abscesses, and should be considered a good alternative to surgery, particularly in high risk patients.
对37例疑似腹部脓肿的患者进行了超声引导下的经皮穿刺。31例确诊为脓肿，其中21例与既往手术有关。3例通过单阶段抽吸排出了3个小腔隙；在其他病例中，根据腔隙的大小和内容物采用了不同的引流导管。强调了蛋白水解剂、生理盐水冲洗和持续抽吸的益处。23/31例患者（74%）成功引流避免了手术，在多房脓肿、多腔脓肿和感染性血肿中也取得了阳性结果。3例（10%）取得部分成功：患者在临床改善后接受了手术。发生了2例并发症（肠穿孔和小的肝裂伤）。经皮引流在大多数腹部脓肿中被证明是一种首选技术，应被视为手术的良好替代方法，尤其是在高危患者中。
