Wright H K, Dunn E, MacArthur J D, Pelliccia O
Am J Surg. 1982 Apr;143(4):456-9. doi: 10.1016/0002-9610(82)90195-7.
Despite the very high accuracy rate of imaging studies (ultrasound, computed tomography, liver-lung-spleen scans and gallium-67 scans) in detecting intraabdominal abscesses, our experience with 80 recent cases indicate that these techniques have not significantly altered traditional methods of decision-making about when and where to drain such abscesses. In only 12.5 percent of cases were such decisions based on special imaging techniques alone, and most of these cases subphrenic abscesses were diagnosed late after surgery. In the remainder, physical examination and routine radiologic studies sufficed, with special imaging techniques primarily corroborating clinical evidence based on these methods. We conclude that the use of special imaging techniques alone in a search for the cause of fever early after abdominal surgery does not provide evidence upon which clinical decisions can be based unless there are already physical signs of an abscess.
尽管影像学检查（超声、计算机断层扫描、肝肺脾扫描和镓-67扫描）在检测腹腔内脓肿方面准确率很高，但我们对最近80例病例的经验表明，这些技术并未显著改变关于何时何地引流此类脓肿的传统决策方法。仅在12.5%的病例中，此类决策仅基于特殊影像学技术，而且这些病例中的大多数膈下脓肿在手术后诊断较晚。在其余病例中，体格检查和常规放射学检查就足够了，特殊影像学技术主要是对基于这些方法的临床证据进行佐证。我们得出结论，除非已有脓肿的体征，否则在腹部手术后早期仅使用特殊影像学技术寻找发热原因并不能提供可作为临床决策依据的证据。
