Division of Image Guided Therapy, Diagnostic Imaging, The Hospital for Sick Children, Department of Medical Imaging, University of Toronto, 555 University Avenue, 2810B, Toronto, Canada M5G 1X8.
Division of Image Guided Therapy, Diagnostic Imaging, The Hospital for Sick Children, Department of Medical Imaging, University of Toronto, 555 University Avenue, 2810B, Toronto, Canada M5G 1X8.
J Vasc Interv Radiol. 2019 Jun;30(6):908-914. doi: 10.1016/j.jvir.2018.09.023. Epub 2019 Apr 5.
To retrospectively evaluate the safety and efficacy of transrectal ultrasound (TRUS) probe use for aspiration and drainage of pelvic abscesses in children.
Patient demographics, procedural details, technical success, safety, and clinical course of TRUS procedures were retrospectively analyzed. Between 2007 and 2016, 118 TRUS-guided procedures were performed in 115 children (60 males, 55 females); median age was 12.4 years (range, 2.4-17.9 years) and median weight was 45 kg (range, 12.6-112 kg). Ten children were 5 years of age or younger.
In total, 113/118 procedures were performed under general anesthesia. The rectum accommodated the probe and needle guide without resistance in all children (technical feasibility, 100%). Abscesses were anterior to the rectum in 116/118 and posterior in 2/118. One hundred twelve collections were drained, 4 were aspirated, and 2 procedures were aborted, both subsequently successfully drained (2 and 3 days later). One patient underwent repeat drainage after 28 months. No major complications were reported. Median times to temperature normalization was 0 days (mean, 1.2; range, 0-13 days), catheter dwell time 5 days (mean, 6; range, 2-21 days), drain removal to discharge 1 day (mean, 2; range, 0-41 days), and follow-up 117 days (mean, 195; range, 5-2,690 days).
TRUS-guided drainage using the TRUS probe and needle guide is a safe and effective method for aspiration and drainage of pelvic abscesses in children as young as 2 years.
回顾性评估经直肠超声（TRUS）探头用于儿童盆腔脓肿抽吸和引流的安全性和疗效。
分析了 2007 年至 2016 年间 115 例儿童 118 次 TRUS 引导下的手术患者的人口统计学资料、手术细节、技术成功率、安全性和临床过程。118 次 TRUS 引导下的手术中有 60 例男性和 55 例女性，中位年龄为 12.4 岁（范围，2.4-17.9 岁），中位体重为 45kg（范围，12.6-112kg）。10 例患儿年龄在 5 岁以下。
总共 113/118 例手术在全身麻醉下进行。直肠完全容纳探头和导针，无任何阻力（技术可行性，100%）。118 个脓肿中有 116 个位于直肠前方，2 个位于直肠后方。112 个脓肿被引流，4 个被抽吸，2 个手术被中止，随后分别在第 2 天和第 3 天成功引流。1 例患儿在 28 个月后再次引流。无重大并发症发生。中位体温恢复正常时间为 0 天（平均 1.2 天，范围 0-13 天），中位导管留置时间为 5 天（平均 6 天，范围 2-21 天），引流管拔出至出院时间为 1 天（平均 2 天，范围 0-41 天），随访时间为 117 天（平均 195 天，范围 5-2690 天）。
使用 TRUS 探头和导针的 TRUS 引导下引流是一种安全有效的方法，可用于抽吸和引流 2 岁及以上儿童的盆腔脓肿。
