Aeder M I, Wellman J L, Haaga J R, Hau T
Arch Surg. 1983 Mar;118(3):273-80. doi: 10.1001/archsurg.1983.01390030005001.
Reviewing our experience with 32 surgically and 13 percutaneously drained abdominal abscesses, we propose the following criteria for computed tomography (CT)-assisted percutaneous drainage: (1) the absence of more than two abscess cavities or loculations; (2) drainage route not traversing bowel, uncontaminated organs, or uncontaminated peritoneal or pleural spaces; (3) the absence of a source of continuous contamination; and (4) the absence of fungi as causative organisms. Of nine abscesses that met these criteria, seven were successfully drained percutaneously. In all abscesses that did not meet the criteria, percutaneous drainage resulted in complications. Of the 32 surgical patients, six would have been candidates for percutaneous drainage according to these criteria. Two of those patients experienced technical complications that might have been prevented by the use of percutaneous drainage. Surgical intervention is the preferred treatment in the majority of patients; however, in properly selected patients, CT-assisted percutaneous drainage is highly successful and can prevent unnecessary morbidity and mortality.
回顾我们对32例经手术治疗和13例经皮引流的腹部脓肿的经验，我们提出以下计算机断层扫描（CT）辅助经皮引流的标准：（1）脓肿腔或分隔不超过两个；（2）引流途径不穿过肠道、未受污染的器官或未受污染的腹膜或胸膜腔；（3）不存在持续污染源；（4）不存在真菌作为致病微生物。符合这些标准的9例脓肿中，7例经皮引流成功。在所有不符合标准的脓肿中，经皮引流均导致并发症。在32例手术患者中，根据这些标准有6例可能适合经皮引流。其中2例患者出现了可能通过经皮引流预防的技术并发症。手术干预是大多数患者的首选治疗方法；然而，在适当选择的患者中，CT辅助经皮引流非常成功，可以预防不必要的发病率和死亡率。
