CT FOLLOW-UP OF EMPYEMAS - PLEURAL PEELS RESOLVE AFTER PERCUTANEOUS CATHETER DRAINAGE

被引:67
作者
NEFF, CC
VANSONNENBERG, E
LAWSON, DW
PATTON, AS
机构
[1] SALEM HOSP,THORAC SURG,SALEM,MA 01970
[2] UNIV CALIF SAN DIEGO,MED CTR,DEPT RADIOL,SAN DIEGO,CA 92103
关键词
empyema; lung; CT; pleura; diseases;
D O I
10.1148/radiology.176.1.2353091
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
In this prospective study, computed tomography (CT) was used to examine the resolution of pleural abnormalities following radiologic catheter drainage of empyemas. Ten patients with empyemas surrounded by pleural peels underwent thoracic CT scanning at 4, 8, and 12 weeks after removal of their catheter(s). The scans demonstrated extensive pleural thickening 4 weeks after catheter removal in all 10 patients. The pleural thickening had decreased 8 weeks after catheter removal. At 12 weeks, the pleura was essentially normal in four patients, demostrated only a small area of plaque-like thickening in four patients, and was mildy thickened in two patients. This study demonstrates that the pleural surfaces have a remarkable capacity for healing after empyema drainage. The pleural peel resolves in most cases. These results suggest that decortication need not be performed routinely when such empyemas are encountered; rather, patients should be treated on an individualized basis and studied with serial CT to determine the necessity of decortication.
引用
收藏
页码:195 / 197
页数:3
相关论文
共 12 条
[1]  
CROFTON J, 1971, RESPIRATORY DISEASES, P172
[2]  
HOOD RM, 1986, SURG DIS PLEURA CHES, P83
[3]  
HOOD RM, 1986, SURGICAL DISEASES PL, P95
[4]  
LEMMER JH, 1985, J THORAC CARDIOV SUR, V90, P849
[5]   RADIOGRAPHICALLY GUIDED PERCUTANEOUS CATHETER DRAINAGE OF PLEURAL FLUID COLLECTIONS [J].
MERRIAM, MA ;
CRONAN, JJ ;
DORFMAN, GS ;
LAMBIASE, RE ;
HAAS, RA .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1988, 151 (06) :1113-1116
[6]  
OMOORE PV, 1987, AM J ROENTGENOL, V149, P1
[7]   THORACIC EMPYEMA - BACK TO BASICS [J].
ORRINGER, MB .
CHEST, 1988, 93 (05) :901-902
[8]   DIFFERENTIATING LUNG ABSCESS AND EMPYEMA - RADIOGRAPHY AND COMPUTED-TOMOGRAPHY [J].
STARK, DD ;
FEDERLE, MP ;
GOODMAN, PC ;
PODRASKY, AE ;
WEBB, WR .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1983, 141 (01) :163-167
[9]   CT-GUIDED AND ULTRASOUND-GUIDED CATHETER DRAINAGE OF EMPYEMAS AFTER CHEST-TUBE FAILURE [J].
VANSONNENBERG, E ;
NAKAMOTO, SK ;
MUELLER, PR ;
CASOLA, G ;
NEFF, CC ;
FRIEDMAN, PJ ;
FERRUCCI, JT ;
SIMEONE, JF .
RADIOLOGY, 1984, 151 (02) :349-353
[10]   PERCUTANEOUS CATHETER DRAINAGE OF PLEURAL EFFUSION AND EMPYEMA [J].
WESTCOTT, JL .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1985, 144 (06) :1189-1193