Chou Y H, Tiu C M, Chiou H J, Hsu C C, Chiang J H, Yu C
Department of Radiology, Veterans General Hospital-Taipei, Taiwan.
Eur J Radiol. 1998 Sep;28(2):167-70. doi: 10.1016/s0720-048x(97)00127-7.
The results of ultrasound (US)-guided interventional procedures over a period of 12 years in 21 consecutive patients with splenic abscess were reviewed. The interventional procedures were done with 21- or 18-gauge needles for aspiration of relatively small abscesses (< 3.5 cm) in eight patients and with an 8.3-9.0 French pigtail catheter for continuous drainage in 13 patients with larger abscesses (> or = 3.5 cm). In some patients, multiple abscesses were treated separately according to their various sizes. More than one catheterization were done in three patients because of detached catheter or recurrent abscesses. The interventional procedures were followed by at least eight weeks of appropriate antibiotic therapy. Only one patient had the complication of minimal subcapsular hematoma which needed no further treatment. All the patients had uneventful clinical courses. US-guided interventional procedure proved to be a treatment-of-choice for splenic abscess, and may avoid splenectomy by conserving the spleen.
回顾了21例连续性脾脓肿患者在12年期间接受超声（US）引导下介入治疗的结果。对于8例相对较小脓肿（<3.5 cm）的患者，采用21号或18号针进行穿刺抽吸；对于13例较大脓肿（≥3.5 cm）的患者，采用8.3 - 9.0法国猪尾导管进行持续引流。在一些患者中，多个脓肿根据其不同大小分别进行治疗。3例患者因导管脱落或脓肿复发进行了不止一次置管。介入治疗后进行了至少8周的适当抗生素治疗。仅1例患者出现轻微的包膜下血肿并发症，无需进一步治疗。所有患者的临床病程均平稳。超声引导下介入治疗被证明是脾脓肿的首选治疗方法，并且通过保留脾脏可避免脾切除术。
