Reuss J A, Seitz K
Innere Abteilung des Kreiskrankenhauses Böblingen.
Ultraschall Med. 1987 Jun;8(3):142-6. doi: 10.1055/s-2007-1011678.
From 1976 to March 1987 intraabdominal or retroperitoneal abscesses were confirmed by ultrasound in 40 patients. 13 patients had surgical drainage with zero-mortality. 3 of 27 patients were treated with antibiotics (only systemically). 24 patients were treated by percutaneous catheter drainage or needle aspiration. Elective cholecystectomy was performed later in 3 patients. Nonsurgical treatment was successful in 22/27 cases. 3 patients died despite percutaneous drainage. Failure of percutaneous drainage required surgical intervention in 3 patients. The considerably poorer primary condition of the patients receiving nonsurgical treatment allows no comparison with the surgical group. Advantages of percutaneous drainage and needle aspiration are a high success rate and low mortality. These techniques can be used even in critically ill persons.
1976年至1987年3月期间，40例患者经超声确诊为腹腔内或腹膜后脓肿。13例患者接受了手术引流，无一例死亡。27例患者中有3例仅接受了全身抗生素治疗。24例患者接受了经皮导管引流或穿刺抽吸治疗。3例患者随后接受了择期胆囊切除术。非手术治疗在27例中有22例成功。3例患者尽管接受了经皮引流仍死亡。经皮引流失败的3例患者需要进行手术干预。接受非手术治疗的患者初始病情明显较差，无法与手术组进行比较。经皮引流和穿刺抽吸的优点是成功率高和死亡率低。这些技术甚至可用于危重病患者。
