Mueller P R, vanSonnenberg E, Ferrucci J T
Radiology. 1984 May;151(2):343-7. doi: 10.1148/radiology.151.2.6709903.
The initial skepticism concerning the capability of radiologically placed catheters to drain intraabdominal abscesses has been overcome by wide acceptance of the technique by general surgeons. In this review, we describe current procedural concepts based on our experience with percutaneous catheter drainage of 250 intraabdominal abscesses and fluid collections in 212 patients. We consider the mechanisms of successful percutaneous drainage and suggest differences between radiologic and surgical decompression. We describe the inconsistent correlations between image patterns and results of the diagnostic needle aspiration, especially in predicting the drainability of cavity contents. We review principles of catheter selection and aspects of postprocedure catheter management, including irrigation and timing of withdrawal.
普通外科医生对放射学放置导管引流腹腔内脓肿能力的最初怀疑，已因该技术被广泛接受而消除。在本综述中，我们根据对212例患者250处腹腔内脓肿及积液进行经皮导管引流的经验，描述当前的操作理念。我们考虑成功经皮引流的机制，并指出放射学减压与手术减压之间的差异。我们描述了影像表现与诊断性针吸结果之间不一致的相关性，尤其是在预测腔内容物的可引流性方面。我们回顾导管选择原则及术后导管管理的各个方面，包括冲洗和拔管时机。
