超声引导下经臀路径穿刺置管引流治疗粘连性深部盆腔脓肿

Ultrasound-guided transgluteal puncture and catheter drainage in the treatment of deep pelvic abscess with pelvic adhesion

目的探讨俯卧位超声引导下经臀部穿刺引流治疗粘连性深部盆腔脓肿的安全性及其疗效。方法选取2018年10月至2021年5月于郑州大学第一附属医院超声介入室治疗的粘连性深部盆腔脓肿患者24例,经臀部行超声引导下穿刺置管引流,记录手术时间、出血量、术中远端肢体疼痛等,观察术后患者体温下降趋势及白细胞、C反应蛋白、脓肿最大径等指标,统计出血、疼痛、感染、肠道损伤等并发症发生率。结果24例患者共28个脓肿均成功经臀部置管,引流后脓肿消失,术后无严重并发症。随访3~22个月,无脓肿复发,无远期并发症。结论超声引导下经臀部穿刺引流治疗粘连性深部盆腔脓肿路径安全,疗效确切。

Objective To investigate the safety and efficacy of transgluteal ultrasound-guided puncture and drainage in prone position in the treatment of deep pelvic abscess with pelvic adhesion.Methods A total of 24 cases of deep pelvic abscess with pelvic adhesion treated in the ultrasound intervention room of the First Affiliated Hospital of Zhengzhou University from October 2018 to May 2021 were selected.Ultrasound-guided puncture and drainage were performed through the buttocks.The operation time,blood loss and distal limb pain during the operation were recorded.The decreasing trend of body temperature,the white blood cell,C-reactive protein and abscess size were observed.The incidence of complications such as bleeding,pain,infection and intestinal injury were counted.Results There were 28 abscesses in 24 patients were successfully intubated through the buttocks,the abscesses disappeared after drainage,and there were no serious complications after operation.During the follow-up of 3-22 months,there was no abscess recurrence and no long-term complications.Conclusions Ultrasound-guided transgluteal puncture and drainage is safe and effective in the treatment of deep pelvic abscess with pelvic adhesion.