Ultrasound-guided transgluteal puncture and catheter drainage in the treatment of deep pelvic abscess with pelvic adhesion
10.3760/cma.j.cn131148-20210930-00693
- VernacularTitle: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
- Author:
Tingting LIU
1
;
Lulu SUN
;
Shanshan ZHANG
;
Mengfan PENG
;
Shicheng QIN
;
Gang DONG
Author Information
1. 郑州大学第一附属医院超声科，郑州 450000
- Keywords:
Ultrasound guidance, transgluteal;
Pelvic abscess;
Catheter drainage
- From:
Chinese Journal of Ultrasonography
2022;31(4):325-331
- CountryChina
- Language:Chinese
-
Abstract:
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.
