CT引导下应用直接穿刺型猪尾巴导管组引流腹腔脓肿  

Study of direct percutaneous Pig-tail drainage tube for intra-abdominal abscess under CT guidance

作　　者：孟宪平[1] 朱建新[1] 顾娅婷[1] 谢旭刚[1] 陈则君[1] 王林 

机构地区：[1]江苏省江阴市人民医院放射科,江苏江阴214400 [2]江苏省宜兴市第四人民医院放射科,江苏宜兴214200

出　　处：《实用临床医药杂志》2013年第9期67-69,共3页Journal of Clinical Medicine in Practice

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.

关 键 词：腹腔脓肿 引流术 体层摄影术 X线计算机 

分 类 号：R632.5[医药卫生—外科学]