CAJ | 학술논문

目的探讨经腹腔穿刺器(Trocar)置双套管引流在腹腔脓肿治疗中的应用.方法回顾性分析2010年6-12月间在南京军区南京总医院接受经腹腔穿刺器置双套管引流的32例腹腔脓肿患者的临床资料.操作方法:超声与CT明确脓肿部位及大小后,在CT或超声下定位并明确穿刺深度,经腹腔穿刺器穿刺置双套管引流.结果 32例患者均成功穿刺,1例因胰腺癌术后出现肝转移合并多脏器功能衰竭死亡,1例因多发小肠瘘感染灶未局限需开腹手术引流;其余30例患者引流后感染症状逐渐缓解,并最终治愈,平均愈合时间为(7±3)d.2例合并穿刺处皮下出血,经局部压迫止血,出血停止.结论经Trocar穿刺置入双套管引流治疗腹腔脓肿疗效满意,尤其适用于脓液黏稠或存在蜂窝织炎及坏死组织、脓肿呈多囊性且脓腔较大者.
목적 탐토경복강천자기(Trocar)치쌍투관인류재복강농종치료중적응용.방법 회고성분석2010년6-12월간재남경군구남경총의원접수경복강천자기치쌍투관인류적32례복강농종환자적림상자료.조작방법:초성여CT명학농종부위급대소후,재CT혹초성하정위병명학천자심도,경복강천자기천자치쌍투관인류.결과 32례환자균성공천자,1례인이선암술후출현간전이합병다장기공능쇠갈사망,1례인다발소장루감염조미국한수개복수술인류;기여30례환자인류후감염증상축점완해,병최종치유,평균유합시간위(7±3)d.2례합병천자처피하출혈,경국부압박지혈,출혈정지.결론 경Trocar천자치입쌍투관인류치료복강농종료효만의,우기괄용우농액점주혹존재봉와직염급배사조직、농종정다낭성차농강교대자.
Objective To study the effects of placement of double cannula using trocar puncture for intra-abdominal abscess drainage. Methods A retrospective study was performed to investigate the clinical data of 32 patients undergoing intra-abdominal abscess drainage with double cannula placed using trocar puncture between June 2010 and December 2010. Techniques: the location and size of the abscess was evaluated by ultrasound and CT. Placement of double cannula using trocar puncture was performed under CT or ultrasound guidance. Results Trocar puncture was successful in all the patients . One patient died of liver metastasis and multiple organ failure after surgery for pancreatic cancer. One patient required laparotomy and drainage because non-localization of sepsis from intestinal fistula. The remaining 30 patients experienced alleviation of septic symptoms after drainage and eventually cured. The mean healing time was (7±3) days. Two patients developed subcutaneous bleeding and were management by local compression. Conclusions Placement of double cannula using trocar puncture for intra-abdominal abscess drainage results in satisfactory outcomes. This technique is especially suitable for abscesses with viscous drainage, those with the presence of phlegmon or necrotic debris, and those with multiple large cavities.