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首页> 外文期刊>International journal of colorectal disease. >The outcome of initial percutaneous drainage versus surgical drainage for intra-abdominal abscesses in Crohn's disease
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The outcome of initial percutaneous drainage versus surgical drainage for intra-abdominal abscesses in Crohn's disease

机译：初步经皮引流与手术引流在克罗恩病中的腹腔内脓肿的结果

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Purpose: Percutaneous drainage (PD) of Crohn's related abscesses is becoming popular with the development of techniques. We retrospectively analyzed the outcome of initial PD versus initial surgical drainage for intraabdominal abscesses in Crohn's disease. Methods: Twenty-three patients of Crohn's disease complicated with intra-abdominal or pelvic abscesses treated in our institution between July 2001 and April 2010 were retrospectively identified from 188 patients with proven Crohn's disease. Outcome measures included abscess recurrence after different treatments, post-drainage complications, ultimate stoma creation, and subsequent surgery for Crohn's disease. Results: Patients were divided into initial PD group (n=10) and initial surgery group (n=13): post-drainage complications were more common in initial surgery group (2/10 vs 9/ 13, P=0.036), abscess recurred in three patients (2/10 vs 1/ 13, NS), and subsequent surgery was needed in 10 patients (6/10 vs 4/13, NS). Ultimate stoma creation were significantly more in initial surgery group (1/10 vs 9/13, P=0.01). Conclusions Initial PD group had lower rate of postdrainage complications and ultimate stoma creation compared to the initial surgery group. Although subsequent surgery may not be avoided after PD, it can provide safe anastomosis for resections. Long-term follow-up should be done to assess the outcome of PD.
机译：目的：克罗恩相关脓肿的经皮排水（PD）正在遭受技术的发展。我们回顾性地分析了克罗恩病中腹泻腹部脓肿的初始PD与初始手术引流的结果。方法：在2001年7月至2010年7月至2010年7月间在我们的机构治疗的腹腔内或骨盆脓肿的二十三名克罗恩病患者被回顾性从188例经过验证的克罗恩病的患者中核查。结果措施包括不同治疗后的脓肿复发，排水后并发症，最终的造口创造和随后对克罗恩病的手术。结果：患者分为初始PD组（n = 10）和初始手术组（n = 13）：排水后并发症在初始手术组中更常见（2/10 vs 9/13，p = 0.036），脓肿在三名患者中重复（2/10 vs1 / 13，NS），10名患者需要随后的手术（6/10 Vs 4/13，NS）。初始手术组（1/10 VS 9/13，P = 0.01）中，最终的造口创作均明显更多。结论与初始外科群体相比，初始PD组初始PD组较低的后灌装并发症和最终创建的创作。虽然PD后可能无法避免随后的手术，但它可以为切除提供安全的吻合术。应该进行长期随访，以评估PD的结果。

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