输卵管卵巢脓肿的微创治疗方法。
Minimally invasive approach of tubo-ovarian abscesses.
作者信息
Silva Fátima, Castro Jorge, Godinho Cristina, Gonçalves João, Ramalho Graça, Valente Francisco
机构信息
Department of Gynecology and Obstetrics, Centro Hospitalar Vila Nova de Gaia, Espinho, Porto, Portugal.
Department of Ultrasonography, Centro Hospitalar Vila Nova de Gaia, Espinho, Porto, Portugal.
出版信息
Rev Bras Ginecol Obstet. 2015 Mar;37(3):115-8. doi: 10.1590/SO100-720320150005257.
PURPOSE
To evaluate the treatment outcome of tubo-ovarian abscesses managed by transvaginal ultrasound-guided aspiration.
METHODS
Descriptive analysis of all patients with tubo-ovarian abscesses treated with a minimally invasive procedure, ultrasound-guided drainage, at the Department of Gynecology, Centro Hospitalar Vila Nova de Gaia/Espinho, during a period of 5 years (from June 2009 to June 2014).
RESULTS
Twenty-six cases were included in the study. The mean age of the study group was 42.8 years. All patients were submitted to transvaginal ultrasound-guided aspiration and sclerosis with iodated solution, as well as received broad-spectrum intravenous antibiotics. The mean time from admission to drainage was 2.5 days. Cultures for aerobic and anaerobic pathogens were positive in 14 of the 26 cases. A complete response was noted in 23 of the 26 cases. No complications or morbidity were noted as a consequence of the drainage procedures.
CONCLUSION
Minimally invasive treatment of tubo-ovarian abscesses by transvaginal ultrasound-guided drainage is an effective and safe approach.
目的
评估经阴道超声引导下穿刺治疗输卵管卵巢脓肿的治疗效果。
方法
对5年期间（2009年6月至2014年6月）在盖亚新城/埃斯皮尼奥中心医院妇科接受微创治疗（超声引导下引流）的所有输卵管卵巢脓肿患者进行描述性分析。
结果
26例患者纳入研究。研究组的平均年龄为42.8岁。所有患者均接受经阴道超声引导下穿刺及碘化溶液硬化治疗，并接受广谱静脉抗生素治疗。从入院到引流的平均时间为2.5天。26例中有14例需氧菌和厌氧菌培养呈阳性。26例中有23例获得完全缓解。未发现引流操作导致的并发症或发病率。
结论
经阴道超声引导下引流对输卵管卵巢脓肿进行微创治疗是一种有效且安全的方法。
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