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经皮穿刺引流250例腹部脓肿及积液。第一部分:结果、失败案例及并发症。

Percutaneous drainage of 250 abdominal abscesses and fluid collections. Part I: Results, failures, and complications.

作者信息

vanSonnenberg E, Mueller P R, Ferrucci J T

出版信息

Radiology. 1984 May;151(2):337-41. doi: 10.1148/radiology.151.2.6709901.

DOI:10.1148/radiology.151.2.6709901
PMID:6709901
Abstract

The results of 250 percutaneous abscess and fluid drainage procedures are summarized. In 209 cases, operation was avoided and the patients were cured (83.6%). Partial success was achieved in 18 of 41 recurrences and failures; in these patients, operation was necessary, although the patient benefited from the percutaneous drainage. Cures and partial successes totaled 227/250 (90.8%). Noninfected collections were successfully drained in 31/43 cases. There were 21 failures (8.4%) and 20 recurrences (8%). These were most often due to fistulae, phlegmons, organized tissue, or underlying tumor. Twenty-six patients experienced complications (10.4%), seven of which were major (2.8%). Analysis and corrective measures for these problems (failure, recurrence, complication) and intraprocedural difficulties are discussed.

摘要

总结了250例经皮脓肿及液体引流手术的结果。209例患者避免了手术并治愈(83.6%)。41例复发及失败病例中有18例取得部分成功;在这些患者中,尽管经皮引流使患者受益,但仍需进行手术。治愈和部分成功共计227/250(90.8%)。43例未感染的积液中有31例成功引流。有21例失败(8.4%)和20例复发(8%)。这些情况最常见的原因是瘘管、蜂窝织炎、机化组织或潜在肿瘤。26例患者出现并发症(10.4%),其中7例为严重并发症(2.8%)。讨论了针对这些问题(失败、复发、并发症)及术中困难的分析和纠正措施。

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Percutaneous drainage of 250 abdominal abscesses and fluid collections. Part I: Results, failures, and complications.经皮穿刺引流250例腹部脓肿及积液。第一部分:结果、失败案例及并发症。
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