Martins Diego Lima Nava, Cavalcante Junior Francisco de Assis, Falsarella Priscila Mina, Rahal Junior Antonio, Garcia Rodrigo Gobbo
Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Einstein (Sao Paulo). 2018 Sep 21;16(3):eRC4254. doi: 10.1590/S1679-45082018RC4254.
The aim of this study were to describe the technique of percutaneous drainage of iliopsoas abscess, and to discuss the benefits of using this minimally-invasive tool. A single center study with retrospective analysis of patients with psoas abscess confirmed by imaging scans, sent to the interventional medicine center and submitted to computed tomography and ultrasound-guided percutaneous drainage, from November 2013 to August 2016. Seven patients underwent percutaneous drainage of psoas abscess in this period. The mean initial drained volume was 61.4±50.7mL (ranging from 10 to 130mL), and the mean drainage duration was 8.3±2.8 days (ranging from 4 to 12 days). The success rate of the percutaneous procedures was 71.5%, and two patients required re-intervention. Image-guided percutaneous drainage of iliopsoas abscess is a minimally invasive, efficient and safe procedure, and an extremely valuable technique, especially for patients who are not suitable for surgical repair.
本研究的目的是描述髂腰肌脓肿的经皮引流技术，并探讨使用这种微创工具的益处。这是一项单中心研究，对2013年11月至2016年8月期间因影像扫描确诊为腰肌脓肿、被送至介入医学中心并接受计算机断层扫描和超声引导下经皮引流的患者进行回顾性分析。在此期间，7例患者接受了腰肌脓肿的经皮引流。初始平均引流量为61.4±50.7mL（范围为10至130mL），平均引流持续时间为8.3±2.8天（范围为4至12天）。经皮操作的成功率为71.5%，2例患者需要再次干预。影像引导下经皮引流髂腰肌脓肿是一种微创、高效且安全的操作，是一项极具价值的技术，尤其适用于不适合手术修复的患者。
