Mueller P R, Saini S, Wittenburg J, Simeone J, Hahn P F, Steiner E, Dawson S L, Butch R J, Stark D D, Ottinger L W
Radiology. 1987 Aug;164(2):321-5. doi: 10.1148/radiology.164.2.3602369.
Twenty-four patients with acute sigmoid diverticulitis and associated pelvic fluid collections seen on computed tomographic scans underwent percutaneous catheter drainage as an adjunct to surgical therapy. Fourteen of the 24 underwent a single-stage surgical procedure within 10 days of drainage. Five patients required two-stage surgical procedures because localized inflammatory changes precluded a primary resection despite the absence of a residual abscess at surgery. Two of the three remaining patients initially had no surgery, but they had recrudescences of their symptoms that required surgical drainage within 8 months. One patient in whom surgical resection was deferred remained asymptomatic 10 months after percutaneous drainage. A retrospective review of 87 patients undergoing surgery for diverticulitis suggested that the percentage of two-stage surgical procedures has decreased in the last 5-10 years, but there remains a substantial number of patients who might benefit from percutaneous catheter drainage of diverticular abscess of the sigmoid colon.
24例经计算机断层扫描发现患有急性乙状结肠憩室炎并伴有盆腔积液的患者接受了经皮导管引流术，作为手术治疗的辅助手段。24例患者中有14例在引流后10天内接受了一期手术。5例患者需要进行二期手术，因为尽管手术时没有残留脓肿，但局部炎症改变使一期切除无法进行。其余3例患者中有2例最初未进行手术，但他们的症状复发，需要在8个月内进行手术引流。1例推迟手术切除的患者在经皮引流10个月后仍无症状。对87例因憩室炎接受手术的患者进行的回顾性研究表明，在过去5至10年中，二期手术的比例有所下降，但仍有相当数量的患者可能受益于乙状结肠憩室脓肿的经皮导管引流。
