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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.

DOI:10.1002/bjs.1800670606
PMID:7388336
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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1
Percutaneous catheter drainage of liver abscess: an alternative to open drainage?经皮肝脓肿导管引流术:开放引流的替代方法?
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Spontaneous cutaneous rupture of a pyogenic liver abscess.化脓性肝脓肿自发性皮肤破溃
Indian J Surg. 2010 Aug;72(4):339-42. doi: 10.1007/s12262-010-0131-3. Epub 2010 Nov 23.
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What affects mortality after the operative management of hepatic abscess?肝脓肿手术治疗后哪些因素会影响死亡率?
HPB (Oxford). 2006;8(3):175-8. doi: 10.1080/13651820500477738.
3
Treatment of abdominal abscesses: comparative evaluation of operative drainage versus percutaneous catheter drainage guided by computed tomography or ultrasound.腹部脓肿的治疗:计算机断层扫描或超声引导下手术引流与经皮导管引流的比较评估
Ann Surg. 1981 Oct;194(4):510-20. doi: 10.1097/00000658-198110000-00014.
4
Ultrasonically guided fine needle aspiration biopsy of hepatic and pancreatic space-occupying lesions and percutaneous abscess drainage.超声引导下肝和胰腺占位性病变的细针穿刺活检及经皮脓肿引流。
Klin Wochenschr. 1981 Jun 15;59(12):707-12. doi: 10.1007/BF02593864.
5
Microbiology of pyogenic liver abscess.化脓性肝脓肿的微生物学
Br Med J (Clin Res Ed). 1981 Sep 26;283(6295):819-21. doi: 10.1136/bmj.283.6295.819.
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Gastrointestinal complications of congenital immunodeficiency states. The surgeon's role.先天性免疫缺陷状态的胃肠道并发症。外科医生的作用。
Ann Surg. 1983 Dec;198(6):673-80. doi: 10.1097/00000658-198312000-00001.
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Bacterial-mycotic liver abscess in a non-immunocompromised host.非免疫功能低下宿主的细菌性真菌性肝脓肿。
Infection. 1984 Jul-Aug;12(4):256-7. doi: 10.1007/BF01645953.
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Pyogenic liver abscess: diagnosis, bacteriology and treatment.
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Spontaneous rupture of primary pyogenic liver abscess.原发性化脓性肝脓肿自发性破裂
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Ann Surg. 1987 Dec;206(6):699-705. doi: 10.1097/00000658-198712000-00003.