Neff C C, vanSonnenberg E, Casola G, Wittich G R, Hoyt D B, Halasz N A, Martini D J
Radiology. 1987 Apr;163(1):15-8. doi: 10.1148/radiology.163.1.3823429.
Percutaneous catheter drainage was performed in 16 patients with diverticulitis complicated by abscesses. Each patient had resolution of fever within 72 hours. Eleven patients subsequently underwent simultaneous sigmoid resection and operative anastomosis 10-40 days after percutaneous drainage. One patient required a three-stage procedure after percutaneous drainage, and one patient was too unstable for operation at any time during her course and eventually died of respiratory failure. Three patients did not undergo resection after catheter drainage and have remained asymptomatic for 1-2 1/2 years. Ten of 16 patients had fistulas, eight of which closed spontaneously. Experience with percutaneous drainage of diverticular abscesses suggests that it obviates surgical abscess drainage and permits a single operation (sigmoid resection and closure) to be performed safely. Percutaneous abscess drainage has cost-saving implications, since one or two operations may be avoided in most patients, and in some high-risk elderly patients all operations may be obviated.
对16例并发脓肿的憩室炎患者进行了经皮导管引流。每位患者均在72小时内退热。11例患者在经皮引流后10至40天随后同时进行了乙状结肠切除术和手术吻合术。1例患者在经皮引流后需要进行三期手术，1例患者在病程中的任何时候都因病情过于不稳定而无法进行手术，最终死于呼吸衰竭。3例患者在导管引流后未进行切除术，且在1至2年半的时间里一直无症状。16例患者中有10例出现瘘管，其中8例自行闭合。憩室脓肿经皮引流的经验表明，它避免了手术脓肿引流，并允许安全地进行单次手术（乙状结肠切除术和吻合术）。经皮脓肿引流具有节省成本的意义，因为大多数患者可能避免一到两次手术，而在一些高危老年患者中，所有手术都可能避免。
