Bouali K, Magotteaux P, Jadot A, Saive C, Lombard R, Weerts J, Dallemagne B, Jehaes C, Delforge M, Fontaine F
Service d'Imagerie Médicale, Centre Hospitalier St-Joseph-Espérance, Liège, Belgium.
J Belge Radiol. 1993 Feb;76(1):11-4.
One hundred and twenty-one peritoneal, retroperitoneal and pelvic abscesses were treated percutaneously using CT or US guidance. The lesions developed after abdominal surgery. Sixty-three abscesses (52%) were situated in the peritoneal cavity, 31 (26%) in the retroperitoneal cavity and 27 (22%) in the pelvis. A definitive treatment was obtained in 74% of peritoneal abscesses, 67% of retroperitoneal abscesses and 82% of pelvic abscesses. Failure most commonly occurred with multiloculated lesions or lesions associated with fistulous communication. There was a low rate of complication (1%). percutaneous drainage avoids the risks inherent in surgery and anesthesia, saves considerable time and meets greater patient acceptance. If a total cure is not systematic, a beneficial temporizing effect may however be obtained by percutaneous drainage. This procedure should be indicated for the initial treatment of postsurgical abscesses.
121例腹膜、腹膜后及盆腔脓肿在CT或超声引导下进行了经皮治疗。这些病变均发生于腹部手术后。63例脓肿（52%）位于腹腔，31例（26%）位于腹膜后腔，27例（22%）位于盆腔。74%的腹腔脓肿、67%的腹膜后脓肿和82%的盆腔脓肿获得了确切的治疗效果。失败最常发生于多房性病变或伴有瘘管形成的病变。并发症发生率较低（1%）。经皮引流避免了手术和麻醉固有的风险，节省了大量时间，且患者接受度更高。如果不能实现彻底治愈，经皮引流仍可获得有益的暂时缓解效果。该方法应作为术后脓肿初始治疗的选择。
