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[肝脏手术后脓肿、胆汁瘤、血清肿和血肿的经皮引流。46例患者的经验]

[Percutaneous drainage of abscesses, biliomas, seromas and hematomas following liver surgery. Experiences with 46 patients].

作者信息

Grote R, Barg-Hock H, Milbradt H, Weimann A, Pichlmayr R, Döhring W

机构信息

Abteilung Diagnostische Radiologie I, Medizinische Hochschule Hannover.

出版信息

Rofo. 1993 Feb;158(2):97-103. doi: 10.1055/s-2008-1032612.

Abstract

Fifty-two fluid collections following hepatic surgery were diagnosed in 46 patients, mostly by sonography. These were treated percutaneously. In 7 patients ultrasound-guided puncture was used, in 36 patients catheter drainage was employed and in three drainage was instituted by a catheter in a pre-existing fistula. One patient with a bile leak in the hilar region had to undergo surgery. One patient died of multi organ failure following liver transplantation and another patient with advanced tumour died 78 days after the drainage procedure. The other patients recovered following conservative treatment (93.5%).

摘要

46例患者在肝脏手术后出现52处液体积聚,大多通过超声诊断。这些均采用经皮治疗。7例患者采用超声引导下穿刺,36例患者采用导管引流,3例通过预先存在的瘘管中的导管进行引流。1例肝门区胆汁漏患者不得不接受手术。1例患者在肝移植后死于多器官功能衰竭,另1例晚期肿瘤患者在引流术后78天死亡。其他患者经保守治疗后康复(93.5%)。

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