超声引导下置管引流及药物冲洗治疗较大盆腔脓肿的价值  

Value of ultrasound-guided catheter drainage and irrigation of larger pelvic abscesses

作　　者：王艳秋[1] 汪龙霞[1] 李秋洋[1] 徐虹[1] 刘勤[1] 何萍[1] WANG Yan-qiu;WANG Long-xia;LI Qiu-yang;XU Hong;LIU Qin;HE Ping(Department of Ultrasonography,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心超声诊断科,北京100853

出　　处：《中国临床医学影像杂志》2021年第8期544-546,共3页Journal of China Clinic Medical Imaging

基　　金：北京市科技计划项目(Z171100001017141)。

摘　　要：目的:探讨超声引导下置管引流及药物冲洗在较大盆腔脓肿治疗中的价值。方法:回顾性总结2015年10月—2020年1月就诊于我院的盆腔脓肿患者28例,行超声引导下置管引流、脓腔冲洗及抗生素留置治疗,其中女21例,男7例;原发盆腔脓肿5例,临床术后并发脓肿23例。治疗后超声随访结果同时进行分析。结果:对28例脓肿病灶进行置管引流,全部成功抽出脓液,并行抗生素冲洗留置治疗。治愈26例(92.9%),平均治疗约7 d,有效2例(7.1%),无效0例(0%),总有效率100%,其中2例急性炎症期过后择期进行手术治疗。结论:超声引导下置管引流治疗较大盆腔脓肿是一种创伤小、有效、安全的方法,尤其适用于病情复杂不宜手术的患者。Objective:To evaluate the value of ultrasound-guided catheter drainage and drug irrigation in the treatment of pelvic abscesses.Methods:The data of 28 patients with ultrasound-guided drainage treatment of pelvic abscess in our hospital from October 2015 to January 2020 were retrospectively analyzed,including 21 females and 7 males.There were 5 patients with primary pelvic abscess and 23 patients with postoperative abscess.Follow-up results were also analyzed.Results:Under ultrasound guiding,28 cases of pelvic abscess were treated with catheter drainage,and all cases were successfully extracted pus,and antibiotics were used for irrigation and indwelling treatment.Twenty-six cases(92.9%)were cured,the average treatment time was about 7 days,2 cases(7.1%)were effective,the total effective rate was 100%,among which 2 cases were operated after acute inflammation.Conclusion:Ultrasound-guided drainage treatment is less invasive,effective and safe for larger pelvic abscess,especially for the patients with complicated disease and high risk of operation.

关 键 词：脓肿 骨盆 超声检查 介入性 

分 类 号：R711.33[医药卫生—妇产科学] R445.1[医药卫生—临床医学]