Müller R D, Henrich H, Buddenbrock B, Barkhausen J, Erhard J, Langer R
Zentralinstitut für Röntgendiagnostik OZ II, Universitätsklinikum Essen.
Aktuelle Radiol. 1997 Sep;7(5):239-42.
To examine whether the percutaneous drainage of abscess formations by a new basket catheter system is usefull.
58 patients with abscesses in different locations and origins have been treated by an interventional radiologic procedure. On the whole 77 basket-catheters were placed under CT-guidance into abscess formations of different size and localization. 36 patients developed an abscess after surgery, two patients achieved abscess drainage after embolisation of a tumor. In 20 patients the abscess was a complication of a septic infectious disease.
Open surgery was avoided in 41/58 patients of these patients 9/41 received only percutaneous drainage and 32/41 patients suffering from illness were given antibiotic medication according to the resistogram in combination with percutaneous drainage. 17/58 patients required secondary surgery but with a lower risk because of the smaller abscess volume and the better clinical constitution after percutaneous drainage.
A minimally invasive management of abscesses using a basket-catheter system is successful even in localisations deep inside the body and hard to reach. An irreversible catheter occlusion followed by the implantation of a new catheter system could be avoided in all patients.
探讨一种新型篮状导管系统经皮引流脓肿是否有用。
58例不同部位和病因的脓肿患者接受了介入放射学治疗。总共在CT引导下将77根篮状导管置入不同大小和部位的脓肿中。36例患者术后出现脓肿，2例患者在肿瘤栓塞后实现脓肿引流。20例患者的脓肿是败血症感染性疾病的并发症。
41/58例患者避免了开放手术，其中9/41例仅接受经皮引流，32/41例患病患者根据药敏谱接受抗生素治疗并联合经皮引流。17/58例患者需要二次手术，但由于经皮引流后脓肿体积较小且临床状况较好，手术风险较低。
使用篮状导管系统对脓肿进行微创治疗即使在身体深部难以到达的部位也很成功。所有患者均可避免不可逆的导管阻塞，随后无需植入新的导管系统。
