摘要
１９９０．３～１９９５．７我们采用超声导向经皮穿刺治疗脾脓肿９例，脓肿单发６例，多发３例；脓肿最大直径８．４ｃｍ。单纯穿刺冲洗５例，穿刺置管４例，共穿刺脓腔１１个，第一次穿刺治愈率７７．８％，脓肿残留率１８．１％，最多１例穿刺３次治愈。无死亡及严重并发症。５例随访３～２７个月，无复发，Ｂ超示脾大小及血流指数正常。我们认为单纯穿刺冲洗适于直径１—３ｃｍ脓肿，≥３ｃｍ者需要置管引流。总结了治疗多发性脾脓肿的三条经验，即一针多腔，由深及浅，先小后大的原则，强调残余脓肿不论大小均要穿刺治疗。结果表明，本方法对保留脾脏是一种安全、创伤小且疗效显著的选择。
Ultrasound-guided percutaneous puncture(UGPP) procedured in nine patients with solitary (n=6) and multiple(n=3) splenic abscesses from March 1990 to july 1995,the biggest abscess was 8. 4cm in diameter. Simple puncture and irrigation was performed on 5 cases,puncture and catheter drainage on 4 cases,with 11 lesions in total. The one sesion curative rate was 77. 8%,and the abscess residual rate 18. 1%,one patient underwent three pinctures for his cure. No death and severe complications occured in the group,and none of them had splenectomy,five cases were followed up for 3 to 27 months without recurrence,the spleen was confirmed to be normal in size and blood-flow parameters by mode-B ultrasound. We suggest that simple puncture and irrigation have good result for the abscesses 1 to 3cm in diameter, the ones≥3cm need catheter drainage. The three principles on treatment of multiple splenic abscesses are one needle for many abscesses if rom deep to shallow;and from,small to big. We emphasize that puncture treatmeat should be performed on all residual abscesses no matter big or small,The results showed that UGPP offered a safe,less invasive and effective alternative in spleen preservation.
出处
《肝胆外科杂志》
1996年第4期208-210,共3页
Journal of Hepatobiliary Surgery
关键词
脾脓肿
超声导向
经皮穿刺疗法
Splenic abscess Percutaneous puncture treatmeat Ultrasound-guidance
