김상수,
고영관, 이상목, 홍성화, 윤충, 주흥재, 오주형*
Urokinase
Injection through the Percutaneous Drainage Catheter to the Multiply Septated Liver
Abscess, Subhepatic Abscess, and Retroperitoneal Hematoma
Sang
Soo Kim, M.D, Young Gwan Ko, M.D,, Sang Mok Lee, M.D., Sung Wha Hong M. D, Choong
Yoon, M.D., Hoong Zae Joo, M. D. and Joo Hyeong Oh, M.D*.
Department
of Surgery and Radio1ogy*, Kyung Hee University Hospital, Seoul, Korea
Although,
Percutaneous drainage of abscesses is an effective treatment, the success rate for
abscesses that have septa and are multilocular is lower. Several clinical and in-vitro
studies suggest that urokinase may be useful in such cases.
We
experienced three patients undergone percutaneous drainage and intracavitary urokinase
injection through the drainage catheter. One patient is with liver abscess which
is multiloculated by septa. We hardly draw out the abscess with usual percutaneous
drainage catheter only. But with injection of urokinase through the drainage catheter,
we could get a successful result. Other two patients, subhepatic abscess and retroperitoneal
hematoma, also could get good results with urokinase injection through the percutaneous
drainage catheter without complications. Conclusion ; Intracavitary urokinase can
be given safely during percutaneous drainage of all abscess, without bleeding complication
or change in coagulation parameters. |
