Bonnel D, Cornud F, Lacaine F, Carette M F, Sibert A, Bénacerraf R, Bigot J M
Gastroenterol Clin Biol. 1985 Nov;9(11):824-8.
From October 1982 to October 1984, a percutaneous drainage under realtime ultrasound guidance was performed in 53 patients with abdominal abscesses. The location of the abscesses was subphrenic (23), retroperitoneal (16), and intrahepatic (14). A safe access route was found by using ultrasound and fluoroscopy in 53 out of 55 patients (96 p. 100). Percutaneous drainage failed in 8 patients and 3 of these patients died. The causes of death were: cerebral abscess (1), renal failure after surgery for correction of a duodenal fistula (1), and pancreatic abscess (1). The other five patients were cured by surgical drainage. Two complications were observed: one case each of pneumothorax and purulent peritonitis. Forty-five patients were healed by percutaneous drainage without operation. The duration of the catheter drainage was 14 days +/- 13 (m +/- 1 SD). Our results suggest that percutaneous drainage under realtime ultrasound guidance is an efficient and safe way to treat abdominal abscesses.
1982年10月至1984年10月，对53例腹部脓肿患者进行了实时超声引导下的经皮引流。脓肿的位置分别为膈下（23例）、腹膜后（16例）和肝内（14例）。55例患者中有53例（96%）通过超声和荧光透视找到了安全的穿刺路径。8例患者经皮引流失败，其中3例死亡。死亡原因分别为：脑脓肿（1例）、十二指肠瘘修补术后肾衰竭（1例）和胰腺脓肿（1例）。另外5例患者经手术引流治愈。观察到2例并发症：气胸和化脓性腹膜炎各1例。45例患者经皮引流治愈，无需手术。导管引流持续时间为14天±13天（均值±标准差）。我们的结果表明，实时超声引导下的经皮引流是治疗腹部脓肿的一种有效且安全的方法。
