Chapuis L, Schnyder P
Institut de radiologie, Clinique de La Source, Lausanne.
Schweiz Med Wochenschr. 1996 Jul 20;126(29):1251-7.
Percutaneous drainage of abscesses and other abnormal fluid collections is a recent development of interventional radiology. The indications and results of these treatments are presently well established, as is their place relative to the standard of care, surgical drainage. This paper reviews in particular the technical aspects of percutaneous fluid collection drainage and highlights the practical experience of the authors. The following points are discussed: patient selection and preparation, advantages and shortcomings of the different imaging techniques available for drainage guidance, an outline of the different puncture methods according to difficulty of collection access, choice of drain type, clinical and imaging follow-up of the drained collection, and finally specific precautions in some common clinical situations. The pitfalls and complications of these methods are also discussed.
经皮脓肿及其他异常液体积聚引流是介入放射学的一项新进展。目前,这些治疗方法的适应证、结果以及它们相对于标准治疗方法(手术引流)的地位已得到充分确立。本文特别回顾了经皮液体积聚引流的技术方面,并突出了作者的实践经验。讨论了以下几点:患者的选择与准备、用于引流引导的不同成像技术的优缺点、根据积液穿刺难度不同的穿刺方法概述、引流管类型的选择、引流后积液的临床及影像学随访,最后是一些常见临床情况下的具体注意事项。还讨论了这些方法的陷阱和并发症。