Goletti O, Lippolis P V, Chiarugi M, Ghiselli G, De Negri F, Conte M, Ceragioli T, Cavina E
Department of Emergency Surgery, University of Pisa, Italy.
Br J Surg. 1993 Mar;80(3):336-9. doi: 10.1002/bjs.1800800323.
A retrospective review of 200 patients with intra-abdominal abscesses treated by percutaneous ultrasound-guided drainage is reported. Abscesses were simple in 151 patients (75.5 per cent) and complex in 49 (24.5 per cent). In 12 patients the abscess communicated with the gastrointestinal tract. There were 17 critically ill patients for whom percutaneous drainage was the only therapeutic option possible. The success rate was 94.7 per cent (143 of 151 patients) for simple abscess and 69 per cent (34 of 49) for complex abscess. The overall success rate was 88.5 per cent. The mortality rate was 1.3 per cent (two patients) for simple and 16 per cent (eight patients) for complex abscess. The overall mortality rate was 5.0 per cent. Percutaneous ultrasound-guided drainage should be the initial drainage procedure in patients with a simple abdominal abscess. The presence of a complex abscess should not prevent an attempt at percutaneous catheter drainage, particularly in high-risk patients, although the risk of failure is greater in such cases.
本文报告了对200例经皮超声引导下引流治疗腹腔内脓肿患者的回顾性研究。151例患者（75.5%）的脓肿为单纯性，49例（24.5%）为复杂性。12例患者的脓肿与胃肠道相通。有17例危重症患者，经皮引流是唯一可行的治疗选择。单纯性脓肿的成功率为94.7%（151例患者中的143例），复杂性脓肿的成功率为69%（49例中的34例）。总体成功率为88.5%。单纯性脓肿的死亡率为1.3%（2例患者），复杂性脓肿的死亡率为16%（8例患者）。总体死亡率为5.0%。对于单纯性腹腔脓肿患者，经皮超声引导下引流应作为初始引流方法。存在复杂性脓肿不应妨碍尝试经皮导管引流，特别是在高危患者中，尽管此类情况下失败风险更大。
