ÝNTRAABDOMÝNAL ABSE TEDAVÝSÝNDE OPERATÝF VE RADYOLOJÝK YÖNTEMLER

Taksim Hastanesi I. Cerrahi Kliniðinde, Mayýs 1990'da, I Cerrahi ve Radyoloji Kliniklerinin iþbirliði ile baþlanan, prospektif bir çalýþma çerçevesinde, BT ve US ile lokalizasyonu ve özellikleri belirlenen, 22 intraabdominal abseli hasta araþtýrma kapsamýna alýndý. Abse formasyonuna göre basit ve komplike olmak üzere iki gruba ayrýlan hastalarýn 7'sine radyolojik giriþim, 15'ine ise aperatif giriþim uygulandý. Hastalarýn prognostiði APACHE II skor sistemi ile deðerlendirildi. Basit abseli hastalarda radyolojik giriþimle arasýnda istatistiki anlamlý bir fark gözlenmedi (0.1

OPERATIVE AND RADIOLOGICAL METHODS IN THE TREATMENT OF INTRAABDOMINAL ABSCESS

22 patients with radiologically proven (CT, US) intraabdominal abscess were prospectively evaluated within the context of a dual treatment protocol allowing the patient cither to a radiologically controlled catcheter drainage or classical open operative abscess drainage. The trial was conducted between may 1990 and december 1994 in the First Surgical and Radiology Clinics of the Taksim Hospital. Patients were categorised as having simple or complicated intraabdominal abscess formation. 7 patients received radiologically assisted puncture and drainage, whereas 15 were primarily operated for abscess drainage. Prognostic evaluations were done with APACHE II scoring system. The results of surgical and radiological procedures were not statistically different in cases with simple intraabdominal abscess (0.1