Voros D, Gouliamos A, Kotoulas G, Kouloheri D, Saloum G, Kalovidouris A
2nd Dept of Surgery, University of Athens, Aretaeio Hospital, Greece.
Eur J Surg. 1996 Nov;162(11):895-8.
To describe our experience of percutaneous drainage of intra-abdominal abscesses with large-bore catheters under computed tomographic control.
Retrospective study.
Teaching hospital, Greece.
185 Patients treated for abdominal abscesses during the period 1989-94.
Needle aspiration (n = 27), drainage through conventional pigtail catheters (n = 22), and drainage through large-bore (8-16F) Argyle drains (n = 136).
Morbidity.
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.
Large-bore Argyle drains are efficient and safe for the percutaneous drainage of certain types of abdominal abscesses.
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。
回顾性研究。
希腊的教学医院。
1989年至1994年期间接受腹腔脓肿治疗的185例患者。
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）。
发病率。
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。
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。
