经影像引导的经会阴后路引流术治疗骶前脓肿：21 例分析。

Image-guided posterior transperineal drainage for presacral abscess: An analysis of 21 patients.

机构信息

Department of Radiology, Haaglanden Medical Centre, Lijnbaan 32, 2512 VA The Hague, The Netherlands.

Department of Surgery, Haaglanden Medical Centre, Lijnbaan 32, 2512 VA The Hague, The Netherlands.

出版信息

Diagn Interv Imaging. 2019 Feb;100(2):77-83. doi: 10.1016/j.diii.2018.08.010. Epub 2018 Sep 24.

DOI:10.1016/j.diii.2018.08.010

PMID:30262172

Abstract

OBJECTIVE

The purpose of this study was to retrospectively evaluate the safety and efficacy of posterior transperineal drainage in patients with presacral abscess.

MATERIALS AND METHOD

The records of 21 patients (14 men, 7 women; mean age: 62.1±10 years) who underwent posterior transperineal drainage for the treatment of presacral abscess, either using fluoroscopy or computed tomography guidance, were retrospectively reviewed. Data were analysed with respect to technical success, tolerance, duration of drainage, complications and short-term outcome.

RESULTS

A total of 28 posterior transperineal drainage procedures of presacral abscesses were performed in 21 patients, either using fluoroscopy (24/28; 86%) or computed tomography (4/28; 14%) guidance. Technical success rate was 89% (25/28 procedures) and clinical success rate 88% (22/25 technically successful procedures). Transperineal catheter drainage was maintained for 3-105 days (mean 31 days±26 [SD]). After three procedures (3/28; 11%) patients reported discomfort. No major complications were reported.

CONCLUSION

This study suggests that posterior transperineal drainage is an effective, safe and well-tolerated procedure for the treatment of presacral abscess.

摘要

目的

本研究旨在回顾性评估经会阴后入路引流治疗直肠前脓肿的安全性和有效性。

材料与方法

回顾性分析了 21 例（男 14 例，女 7 例；平均年龄 62.1±10 岁）接受经会阴后入路引流治疗直肠前脓肿的患者的临床资料，其中 24 例采用透视引导，4 例采用 CT 引导。分析手术技术成功率、患者耐受性、引流时间、并发症及短期预后。

结果

21 例患者共行 28 次经会阴后入路引流直肠前脓肿，其中 24 次采用透视引导（86%），4 次采用 CT 引导（14%）。技术成功率为 89%（25/28 次），临床成功率为 88%（22/25 次）。经会阴留置引流管时间为 3-105 天（平均 31 天±26[标准差]）。3 例（3/28；11%）患者诉术后不适。无重大并发症发生。