CT引导下应用直接穿刺型猪尾巴导管组引流腹腔脓肿
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摘要
目的探讨CT引导下应用直接穿刺型猪尾巴导管组引流腹腔脓肿的疗效及安全性。方法对7例术后继发腹腔脓肿的患者行CT引导下直接穿刺型猪尾巴导管组置管引流。结果 7例患者均一次性置管成功,共放置引流管9根。2例因脓肿位置较深,置管路径邻近脾脏、胰腺和结肠等重要器官,于应用套管针、导丝、逐步扩张器后,再置下猪尾巴导管引流;余5例应用直接穿刺型猪尾巴导管组引流。1例结肠癌术后瘘口较大,引流3 d后行再次手术治疗。其余6例引流时间为5~14d,平均9 d,体温在2 d内恢复正常,均治愈出院。结论 CT引导下应用直接穿刺型猪尾巴导管组引流术后继发腹腔脓肿安全、微创、精确,疗效确切。
Objective To evaluate the safety and efficacy of direct percutaneous Pig-tail drainage tube for intra-abdominal abscess under CT guidance.Methods Seven cases of postoperative secondary intra-abdominal abscess were implanted with direct percutaneous Pig-tail drainage tube under CT guidance.Results Nine drainage tubes were placed.Two abscesses were deep-positioned and near the spleen,pancreas,colon and other important organs,so that trocar,guide wire and dilator were used before Pig-tail drainage tube.The other 5 cases were administered direct percutaneous pig-tail drainage tube.One postoperative patient with colon cancer was operated after 3-days drainage due to a large fistulae.The other 6 cases were drained for 5-14 days with an average of 9 days.Body temperatures got normal within 2 days.Six patients were healed.Conclusion The usage of CT guided direct percutaneous Pig-tail drainage tube for postoperative secondary intra-abdominal abscess is safe,minimal invasive,accurate and efficient.
Objective To evaluate the safety and efficacy of direct percutaneous Pig-tail drainage tube for intra-abdominal abscess under CT guidance.Methods Seven cases of postoperative secondary intra-abdominal abscess were implanted with direct percutaneous Pig-tail drainage tube under CT guidance.Results Nine drainage tubes were placed.Two abscesses were deep-positioned and near the spleen,pancreas,colon and other important organs,so that trocar,guide wire and dilator were used before Pig-tail drainage tube.The other 5 cases were administered direct percutaneous pig-tail drainage tube.One postoperative patient with colon cancer was operated after 3-days drainage due to a large fistulae.The other 6 cases were drained for 5-14 days with an average of 9 days.Body temperatures got normal within 2 days.Six patients were healed.Conclusion The usage of CT guided direct percutaneous Pig-tail drainage tube for postoperative secondary intra-abdominal abscess is safe,minimal invasive,accurate and efficient.
引文
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[3]黎介寿.肠外瘘[M].2版.北京:人民军医出版社,2004:76.
[4]Hanna R W,DahniyaM H.Percntaneoue catheter drainage indrug-resistant liver abscess[J].Trop Med Int Health,2000,5(8):578.
[5]陈敏,马宽生,黄小兰,等.B超引导下经皮置胸腔闭式引流导管治疗腹腔脓肿52例疗效分析[J].重庆医学,2002,31(6):467.
[6]邵成伟,田建明,左长京,等.CT引导置管引流治疗单发性腹膜后脓肿[J].介入放射学杂志,2007,16(12):828.
[7]阮嘉后,胡泽民,何坤,等.经皮肾镜穿刺用微创扩张引流套件在腹腔穿刺置管引流中的应用[J].海南医学院学报,2011,22(16):68.