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经皮肝脓肿导管引流术:开放引流的替代方法?

Percutaneous catheter drainage of liver abscess: an alternative to open drainage?

作者信息

Kraulis J E, Bird B L, Colapinto N D

出版信息

Br J Surg. 1980 Jun;67(6):400-2. doi: 10.1002/bjs.1800670606.

Abstract

Percutaneous catheter drainage is still a new concept. Only 4 cases have been reported thus far and this paper reports 2 further cases. The technique of percutaneous catheterization of a liver abscess under CAT scan control is described, and the management of the catheter by a closed irrigation system is set out. Unless there is another compelling reason to do a laparotomy, we feel that this procedure is well worth a trial in view of the high mortality still associated with open drainage. Further experience may well prove percutaneous catheter drainage to be the procedure of choice for liver abscess.

摘要

经皮导管引流仍是一个新概念。迄今为止仅报道过4例,本文再报告2例。文中描述了在CT扫描控制下经皮肝脓肿置管技术,并阐述了通过封闭冲洗系统管理导管的方法。除非有其他迫切需要开腹手术的理由,鉴于开放性引流仍伴有高死亡率,我们认为该方法值得一试。更多的经验很可能证明经皮导管引流是肝脓肿的首选治疗方法。

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