CT引导置管引流治疗单发性腹膜后脓肿.pdfVIP

厶丝 志2007年12月第16卷第12期 J Intervent Radiol 2007，Vo1．16，No．12 · 非血管介入 Non vascular intervention· CT引导置管引流治疗单发性腹膜后脓肿 邵成伟， 田建明， 左长京， 吕桃珍 【摘要1 目的 探讨单发性腹膜后脓肿CT引导下经皮穿刺置管引流治疗的疗效。方法 回顾性总 结采用CT引导下经皮穿刺引流治疗的l3例腹膜后单发性脓肿，脓肿位于胰尾部4例，胰头旁3例，肾周 间隙3例，肾后间隙2例，腰大肌旁 1例；脓肿最大径3．5～8．0 cm。结果 8例患者行 1次穿刺引流，3例 行2次穿刺引流，2例行3次穿刺引流。13例患者平均引流16 d，经过l临床、超声及CT随访未发现残存感 染灶或复发。结论 CT引导下经皮穿刺引流治疗腹膜后脓肿疗效确切、创伤小。 【关键词1腹膜后脓肿；治疗；体层摄影术，x线计算机 中图分类号：R735．7 文献标识码：A 文章编号：1008．794X(2007)．12．0828．03 CT guid~ percutaneous drainage in treatment of solitary retroperitoneal abscess SHA 0 Cheng-wei， TIANJian-ming，ZUO Chang-ring，LtZ Too-zhen．Department ofRadiology，Changhai Hospitd，The Second MUit,~ Med al University．sh0n g}l ai 200433，China 【Abstract】 Objective To evaluate the therapeutic efficacy of percutaneous drainage of solitary retroperitoneal abscess under CT guidance． Methods A retrospective analysis was made for percutaneous drainage of solitary retroperitoneal abscess with CT guidance in 1 3 patients including 4 at the tail of pancreas， 3 nearby the head of pancreas，3 in perirenal space，2 in posterior renal space and 1 case was by the side of psoas mllsc]e．The maximum diameters of retroperitoneal abscess were between 3．5 cm and 8 cm．Results Out 0f 13 patients． 8 with one time drainage， 3 with twice drainages and 2 with thrice drainages． The mean duration of drainage was 16 days with no recurrence or residual lesions during clinical follow up．Conclusion CT guided percutaneous drainage of solitary retroperitoneal abscess is effective and minimally invasive．(J Intervent Radiol，2007，16：828-830) 【Key words1 Retroperitoneal abscess；Therapy；Computed tomography 腹膜后脓肿由于位置深在，发病时症状不典 为ERCP术后，2例为糖尿病患者。4例外伤患者 型，早期诊断存在一定难度。文献报道多采用脓肿 中，十二指肠损伤1例，腰椎骨折 1例，肾脏损伤2 切开引流的手术方法治疗。近年来，随着影像引导 例。患者临床症状：突发性高热，体温最高达39℃以 下穿刺技术的进步，超声或CT引导下病灶