CT在腹腔术后感染诊断与治疗中的临床评价

发布时间：2018-04-09 10:16

本文选题：CT　切入点：腹腔感染　出处：《中华医院感染学杂志》2015年12期

【摘要】：目的探讨腹腔术后感染的CT征象和治疗方法选择的依据,提高CT在腹腔术后感染诊断和治疗中的价值。方法选择2011年1月-2014年11月在医院经过腹腔手术治疗且术后经临床、生化检查等证实为腹腔感染的71例患者,回顾性分析CT图像,对比分析CT征象与治疗方法的关系。结果 71例术后腹腔感染患者中37例行胃肠道手术、30例行肝胆胰系统手术、4例行生殖泌尿系统手术;患者腹腔出现腹水57例占80.3%、包裹性积液23例占40.4%、腹腔脓肿17例占23.9%;24例患者行保守治疗的CT主要表现为腹腔渗出或少量腹水,34例患者行超声或CT引导下穿刺引流术的主要表现为大量腹水、腹腔包裹性积液和腹腔脓肿;13例行再次开腹手术患者的腹腔感染均较重,多出现腹腔内容物或切口的粘连,脓肿或包裹性积液的位置不适合穿刺引流。结论 CT是诊断腹腔术后感染较实用的检查手段,对治疗方法的选择有较大的临床价值。
[Abstract]:Objective to investigate the CT signs of postoperative infection and the basis of choice of treatment methods, and to improve the value of CT in the diagnosis and treatment of postoperative infection.Methods from January 2011 to November 2014, 71 patients with intraperitoneal infection confirmed by clinical and biochemical examination were selected. Ct images were analyzed retrospectively and the relationship between CT signs and treatment methods was compared.Results among 71 patients with postoperative abdominal infection, 37 cases underwent gastrointestinal surgery and 30 cases underwent hepatobiliary and pancreatic surgery and 4 cases underwent genitourinary system operation.There were 57 cases of ascites in the abdominal cavity (80.3%), 23 cases of enclosing fluid (40.4%) and 17 cases of abdominal abscess (23.9%). The CT manifestations of conservative treatment were mainly abdominal effusion or a small amount of ascites. 34 cases underwent ultrasound or CT guided puncture and drainage.The main manifestation of the disease is ascites,The infection of abdominal cavity in 13 cases of abdominal cavity encapsulated effusion and abdominal abscess were all serious, and the adhesion of abdominal contents or incision was often found, and the location of abscess or encapsulated effusion was not suitable for puncture and drainage.Conclusion CT is a practical method for the diagnosis of postoperative infection in abdominal cavity.
【作者单位】：滨州市人民医院放射科;
【基金】：山东省自然科学基金资助项目(ZR2009CL018)
【分类号】：R619.3;R816.8

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