超声引导下经骶部行后盆腔包裹性积液置管引流的临床价值  

The Clinical Value of Ultrasound-guided Transsacral Drainage of Posterior Pelvic Encapsulated Effusions

作　　者：蔡清源 吴晓敏 李凤霞 张清泉[1] 王小琳 刘海伟 陈杰云[2] Cai Qingyuan;Wu Xiaomin;Li Fengxia;Zhang Qingquan;Wang Xiaolin;Liu Haiwei;Chen Jieyun(Department of Ultrasound,Quanzhou First Hospital Affiliated to Fujian Medical University,Quanzhou,Fujian 362000,China;Department of Radiology,Quanzhou First Hospital Affiliated to Fujian Medical University,Quanzhou,Fujian 362000,China)

机构地区：[1]福建医科大学附属泉州第一医院超声科,福建省泉州市362000 [2]福建医科大学附属泉州第一医院影像科,福建省泉州市362000

出　　处：《中国超声医学杂志》2023年第3期319-321,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 探讨超声引导下经骶部行后盆腔包裹性积液置管引流的临床价值。方法 回顾性分析行超声引导经骶部后盆腔包裹性积液置管引流的患者43例,分析其穿刺成功率及其引流效果。其中腹腔术后者32例,原发性后盆腔脓肿11例。结果 包裹性积液直径8.6~16.8 cm,平均直径(13.7±2.4)cm。其中含气有31例,不含气有12例。术后经影像学随访复查,所有患者脓腔均完全消失,平均置管时长为(12.7±1.7)d。后盆腔包裹性积液穿刺成功率为100%,出现1例穿刺并发症,穿刺并发症发生率为2.3%(1/43)。37例患者细菌培养阳性,降钙素原下降时间为(7.3±0.8)d。结论 经骶部行置管路径上血管及器官较多。超声引导下经骶部行后盆腔脓肿置管引流是一项较安全、有效、微创的操作方式。Objective This study investigate the clinical value of ultrasound-guided transsacral drainage of posterior pelvic encapsulated effusions. Methods A retrospective analysis were performed in 43 patients who underwent ultrasound-guided transsacral posterior pelvic encapsulated effusion drainage in our hospital. The puncture success rate and drainage effect were analyzed. Among them, there were 32 cases of abdominal surgery and 11 cases of primary posterior pelvic abscess. Results The diameter of the encapsulated effusion was 8.6 to 16.8 cm, with an average of(13.7±2.4) cm. Among them, there are 31 cases with gas and 12 cases without gas. Postoperative imaging in follow-up showed that the abscess cavity disappeared completely in all patients, and the average catheterization time was(12.7±1.7) days. The success rate of puncture of posterior pelvic encapsulated effusion is 100%. One case of puncture complication occurred, and the puncture complication rate was 2.3%(1/43). 37 patients had positive bacterial cultures.The decline time of procalcitonin was(7.3±0.8) days. Conclusions There are many blood vessels and organs on the transsacral route. Ultrasound-guided transsacral drainage of posterior pelvic abscesses is a safe, effective and minimally invasive operation.

关 键 词：超声 盆腔 穿刺 包裹性积液 疗效 

分 类 号：R445.1[医药卫生—影像医学与核医学] R713[医药卫生—诊断学]