CT引导下应用直接穿刺型猪尾巴导管组引流腹腔脓肿研究  

CT Guided by Application Type Direct Puncture Group Pigtail Catheter Drainage of Abdominal Abscess

作　　者：王新明[1] 刘希胜[2] 李栋[1] 

机构地区：[1]江苏省溧阳市人民医院放射科,江苏溧阳213300 [2]江苏省人民医院放射科,江苏南京210036

出　　处：《中国继续医学教育》2017年第25期55-57,共3页China Continuing Medical Education

摘　　要：目的探析腹腔脓肿采取CT引导下直接穿刺型猪尾巴导管组引流治疗的临床效果。方法选取2015年5月—2017年7月我院及江苏省人民医院接收的继发腹腔脓肿患者40例作为研究对象,均于CT引导下采取猪尾巴导管组置管引流(直接穿刺型)治疗,观察分析治疗情况。结果 40例患者全部一次性置管成功;30例行直接穿刺型猪尾巴导管组引流,6例患者结肠术后瘘口过大,在给予3天的引流后行手术治疗,其他的34例患者平均引流时间为(9.01±0.52)d,且1~2天内体温恢复正常。所有患者均在治愈后出院。结论继发腹腔脓肿采取CT引导下应用直接穿刺型猪尾巴导管组引流治疗效果确切。Objective To investigate the clinical effect of CT guided direct puncture and pigtail catheter drainage in the treatment of abdominal abscess. Methods A total of 40 patients with secondary abdominal abscess admitted to our hospital and Jiangsu Provincial People's Hospital from May 2015 to July 2017 were selected as the study subjects. Under the guidance of CT, the catheter drainage of the pigtail catheter(direct puncture type) was adopted to observe, analyze and treat the cases. Results 40 cases of patients with catheterization success; 30 underwent direct puncture pigtail catheter drainage. 6 cases of patients after operation of colonic fistula is too large, in the given drainage after surgery for three days, the other 34 cases of patients' the mean drainage time(9.01 ± 0.52) d, and the body temperature returned to normal 1~2 days. The selected patients were discharged after healing. Conclusion The treatment of secondary abdominal abscess with CT guided direct aspiration pigtail catheter is effective.

关 键 词：体层摄影术 腹腔脓肿 CT引导 引流术 

分 类 号：R656[医药卫生—外科学]