Fernandez-Urien Ignacio, Vila Juan J, Jimenez Francisco Javier
Ignacio Fernandez-Urien, Juan J Vila, Francisco Javier Jimenez, Endoscopy Unit, Gastroenterology Department, Hospital de Navarra, Pamplona 31008, Spain.
World J Gastrointest Endosc. 2010 Jun 16;2(6):223-7. doi: 10.4253/wjge.v2.i6.223.
Pelvic abscesses are usually the end stage in the progression of an infection. They may occur from surgical complications, generalized abdominal infections such as appendicitis or diverticulitis, or from localized infections such as pelvic inflammatory disease or inflammatory bowel disease. Although surgery has been considered as the treatment of choice by some authors, pelvic abscesses can be managed by non-invasive methods such as ultrasound and computed tomography-guided drainage. The development of therapeutic linear echoendoscopes has allowed the endoscopist to perform therapeutic procedures. Recently, endoscopic ultrasonography (EUS)-guided drainage of pelvic collections has been demonstrated to be feasible, efficient and safe. It allows the endoscopist to insert stents and drainage catheters into the abscess cavity which drains through the large bowel. This article reviews technique, current results and future prospects of EUS-guided drainage of pelvic lesions.
盆腔脓肿通常是感染进展的终末期。它们可能源于手术并发症、全身性腹部感染（如阑尾炎或憩室炎），或局部感染（如盆腔炎或炎症性肠病）。尽管一些作者认为手术是首选治疗方法，但盆腔脓肿可以通过超声和计算机断层扫描引导引流等非侵入性方法进行处理。治疗性线性超声内镜的发展使内镜医师能够进行治疗操作。最近，已证明内镜超声（EUS）引导下盆腔积液引流是可行、有效且安全的。它使内镜医师能够将支架和引流导管插入通过大肠引流的脓肿腔内。本文综述了EUS引导下盆腔病变引流的技术、当前结果和未来前景。
