Nelson A L, Sinow R M, Renslo R, Renslo J, Atamdede F
Department of Obstetrics and Gynecology, University of California Medical Center, Los Angeles, Torrance 90509, USA.
Am J Obstet Gynecol. 1995 Jun;172(6):1926-32; discussion 1932-5. doi: 10.1016/0002-9378(95)91433-1.
This study assessed the ability of endovaginal ultrasonographically directed transvaginal drainage of pelvic abscesses to treat patients who failed intravenous antibiotic therapies and whose abscesses were not amenable to percutaneous or colpotomy drainage.
Thirty-one women who would otherwise have required surgery to treat their pelvic abscesses underwent the procedure. Immediate clinical response and longer-term follow-up results were collected retrospectively.
Thirty-four procedures were performed on 31 women. Purulent material (10 to 350 ml) was aspirated in every case. Twenty-six of the 31 women (84%) were successfully treated by drainage. In the 6- to 21-month follow-up period, 10 women remained without problems, eight had sequelae related to pelvic infection, and eight were lost to follow-up.
Endovaginal ultrasonographically guided transvaginal drainage is a safe, effective procedure for treatment of pelvic abscesses and should be considered the route of choice for draining collections not amenable to percutaneous or colpotomy drainage.
本研究评估经阴道超声引导下经阴道引流盆腔脓肿治疗静脉抗生素治疗失败且脓肿不适合经皮或经阴道切开引流患者的能力。
31名原本需要手术治疗盆腔脓肿的女性接受了该手术。回顾性收集即时临床反应和长期随访结果。
对31名女性进行了34次手术。每例均吸出脓性物质（10至350毫升）。31名女性中有26名（84%）通过引流成功治愈。在6至21个月的随访期内，10名女性无问题，8名有与盆腔感染相关的后遗症，8名失访。
经阴道超声引导下经阴道引流是治疗盆腔脓肿的一种安全、有效的方法，对于不适合经皮或经阴道切开引流的积液，应考虑将其作为引流的首选途径。
