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腹部手术引流的放射学管理

[Radiologic management of abdominal surgical drainage].

作者信息

Miotto D, Viglione C, Chiesura-Corona M, Costantino V, Savastano S, Pedrazzoli S, Feltrin G P

出版信息

Radiol Med. 1987 Jul-Aug;74(1-2):13-7.

PMID:3615972
Abstract

The authors consider their early results in radiological drainage management of abscesses and fistulas complicating abdominal surgery by integrated use of angiographic materials and interventional methods. Twenty-five patients, affected by isolated (32%) or communicating (68%) abscesses, were treated. Cavity obliteration and clinical recovery were obtained in 18 patients (72%), partial success in 1 (4%); a patient was treated unsuccessfully. Five patients were not evaluated because they died or underwent surgery again. Average drainage interval was 54 days. Drainage management was carried out by replacement of surgical catheters and fibrin occlusion. Fibrin occlusion was performed in 7 patients with the following results: 3 successes, one partial success and one failure. Two cases were not evaluated. Although a comparison with a control group was not performed, the authors consider the procedure a safe, economic and simple method for abdominal abscess management.

摘要

作者通过综合使用血管造影材料和介入方法,探讨了他们在腹部手术并发脓肿和瘘管的放射引流管理方面的早期结果。对25例孤立性脓肿(32%)或交通性脓肿(68%)患者进行了治疗。18例患者(72%)实现了腔隙闭塞和临床康复,1例部分成功(4%);1例患者治疗失败。5例患者因死亡或再次接受手术而未进行评估。平均引流间隔为54天。通过更换手术导管和纤维蛋白封堵进行引流管理。对7例患者进行了纤维蛋白封堵,结果如下:3例成功,1例部分成功,1例失败。2例未进行评估。尽管未与对照组进行比较,但作者认为该方法是一种安全、经济且简单的腹部脓肿管理方法。

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