脾脓肿：高死亡率疾病的治疗选择。
Splenic abscess: treatment options in a disease with high mortality.
机构信息
General Surgery, Osmaneli Mustafa Selahattin Çetintaş State Hospital, Camicedit, İstanbul Cd. 60 / A, 11500 Osmaneli, Bilecik, Turkey.
Department of General Surgery, University of Health Sciences, Haydarpasa Numune Training and Research Hospital, Selimiye, Tıbbiye Cd No:23, 34668 Üsküdar, Istanbul, Turkey.
出版信息
BMC Infect Dis. 2024 Oct 30;24(1):1222. doi: 10.1186/s12879-024-10122-8.
BACKGROUND
Spleen abscess is a rare and serious condition. Splenectomy and imaging-guided percutaneous catheter drainage (PCD) are the methods used in the treatment, but there is still a debate about the appropriate treatment for the patient.
METHODS
The results of 16 patients treated for spleen abscesses in our clinic between 2012 and 2021 were reviewed. The patients were divided into two groups according to splenectomy and PCD.
RESULTS
In the study, PCD was performed in 11 patients (68.75%), but three of these patients required splenectomy due to inadequate drainage. The patients who underwent splenectomy were significantly younger than the patients who underwent PCD (p < 0.05). One patient underwent PCD and 2 patients underwent splenectomy after PCD died.
CONCLUSION
Spleen abscess is a serious clinical picture that requires a multidisciplinary approach and is life-threatening. New clinical studies are needed for a treatment algorithm that will provide good results.
背景
脾脓肿是一种罕见且严重的疾病。脾切除术和影像学引导下经皮导管引流（PCD）是治疗该病的方法，但对于患者的治疗仍存在争议。
方法
回顾了 2012 年至 2021 年间在我们诊所治疗的 16 例脾脓肿患者的结果。根据脾切除术和 PCD 将患者分为两组。
结果
在本研究中，对 11 例患者（68.75%）进行了 PCD，但其中 3 例因引流不充分而需要脾切除术。接受脾切除术的患者明显比接受 PCD 的患者年轻（p<0.05）。1 例接受 PCD 治疗，2 例在 PCD 后接受脾切除术的患者死亡。
结论
脾脓肿是一种严重的临床情况，需要多学科方法治疗，且危及生命。需要进行新的临床研究，以制定提供良好结果的治疗算法。
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