摘要
目的评价CT引导下经皮穿刺引流阑尾周围脓肿的安全性和效果。资料与方法38例阑尾周围脓肿患者接受CT导向下经皮穿刺引流。回顾性分析患者的临床资料、置管数目、引流量、带管时间、并发症和随访结果。结果对5例脓肿〈4cm者行细针单独抽吸，另33例各经皮置人一根引流管；引流脓液25-270ml，平均80ml；带管6～24天，平均9天；无严重并发症发生；随访31例，2例复发给予抗生素治愈。结论对液化完全且局限的阑尾周围脓肿，CT引导下经皮穿刺引流安全有效。
Objective To evaluate the safety and efficacy of CT-guided percutaneous drainage of periappendiceal abscesses. Materials and Methods From January 2000 to November 2007,38 patients with periappendiceal abscesses underwent CT-guided percutaneous drainage. The clinical data, number of drainage catheters placed, amount of drainage, duration of placement, complications and follow-up were retrospectively analysed. Results Simple aspiration with fine needle was performed in 5 patients with abscesses smaller than 4 cm. One drainage catheter was successfully placed in other 33 cases. The amount of fluid drained from abscess was 25 to 270 ml （ mean 80 ml） and the duration of placement was 6 to 24 days （mean 9 days）. No major complications occurred. During follow-up of 31 cases,2 recurred and successfully cured with antibiotics. Conclusion For well-formed and localized periappendiceal abscess, percutaneous drainage under CT guide was safe and effective.
出处
《临床放射学杂志》
CSCD
北大核心
2008年第10期1402-1405,共4页
Journal of Clinical Radiology
关键词
脓肿
经皮引流阑尾
体层摄影术
X线计算机
Abscess Percutaneous drainage Appendix Tomography, X-ray computed
