[异物(鱼骨)引起的左肝叶复发性细菌性脓肿]。

Q4 Medicine
O I Okhotnikov, M V Yakovleva, P A Krasnikov, O O Okhotnikov
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引用次数: 0

摘要

作者介绍了上消化道鱼骨移位引起的复发性肝脓肿的微创手术治疗方法。两阶段治疗意味着在第一阶段对脓肿进行小口径经腹引流,并排出脓性碎屑。在第二阶段,将主要的经皮途径转变为直径足够大的通道,以便采用可视化控制的柔性或刚性光学取骨术。与在超声波和/或 X 光控制下取出异物相比,通过引流管在可视控制下进行内窥镜捕捉取出异物更安全。事实上,内窥镜方法对于异物的最佳定位和防止提取过程中对肝实质的损伤非常有价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Recurrent bacterial abscess of the left liver lobe caused by a foreign body (fish bone)].

The authors present minimally invasive surgical treatment of recurrent liver abscess caused by migration of fish bone from the upper gastrointestinal tract. Two-stage treatment implied small-caliber transparietal drainage of abscess with evacuation of purulent detritus at the first stage. At the second stage, primary percutaneous approach was transformed into access of sufficient diameter for flexible or rigid optics for visually controlled bone extraction. Foreign body removal through the drainage tube with endoscopic capture under visual control is preferable regarding safety compared to removal under ultrasound and/or X-ray control. Indeed, endoscopic approach is valuable for optimal positioning of the object and prevention of damage to liver parenchyma during extraction.

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来源期刊
Khirurgiya
Khirurgiya Medicine-Medicine (all)
CiteScore
0.70
自引率
0.00%
发文量
161
期刊介绍: Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень
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