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在计算机断层扫描引导下,使用大口径导管经皮引流腹腔内脓肿。

Percutaneous drainage of intra-abdominal abscesses using large lumen tubes under computed tomographic control.

作者信息

Voros D, Gouliamos A, Kotoulas G, Kouloheri D, Saloum G, Kalovidouris A

机构信息

2nd Dept of Surgery, University of Athens, Aretaeio Hospital, Greece.

出版信息

Eur J Surg. 1996 Nov;162(11):895-8.

PMID:8956959
Abstract

OBJECTIVE

To describe our experience of percutaneous drainage of intra-abdominal abscesses with large-bore catheters under computed tomographic control.

DESIGN

Retrospective study.

SETTING

Teaching hospital, Greece.

SUBJECTS

185 Patients treated for abdominal abscesses during the period 1989-94.

INTERVENTIONS

Needle aspiration (n = 27), drainage through conventional pigtail catheters (n = 22), and drainage through large-bore (8-16F) Argyle drains (n = 136).

MAIN OUTCOME MEASURES

Morbidity.

RESULTS

The overall success rate was 166/185 (92%). Of the 136 patients for whom the large-bore drains were used, 9 (7%) developed major complications (bowel fistula, n = 5; and pneumothorax and haemorrhage, n = 2 each) and 10 (7%) developed minor complications (obstruction of the tube, n = 4; dislocation of the tube, n = 3; bleeding from the wound, n = 2; and haematoma of the liver, n = 1). There were no deaths.

CONCLUSION

Large-bore Argyle drains are efficient and safe for the percutaneous drainage of certain types of abdominal abscesses.

摘要

目的

描述我们在计算机断层扫描控制下使用大口径导管经皮引流腹腔脓肿的经验。

设计

回顾性研究。

地点

希腊的教学医院。

研究对象

1989年至1994年期间接受腹腔脓肿治疗的185例患者。

干预措施

针吸术(n = 27)、通过传统猪尾导管引流(n = 22)以及通过大口径(8 - 16F)阿盖尔引流管引流(n = 136)。

主要观察指标

发病率。

结果

总体成功率为166/185(92%)。在使用大口径引流管的136例患者中,9例(7%)发生严重并发症(肠瘘5例;气胸和出血各2例),10例(7%)发生轻微并发症(导管阻塞4例;导管移位3例;伤口出血2例;肝血肿1例)。无死亡病例。

结论

大口径阿盖尔引流管对某些类型的腹腔脓肿进行经皮引流是有效且安全的。

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