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经会阴引流治疗前列腺脓肿的临床过程

[Clinical course of prostatic abscess treated with transperineal drainage].

作者信息

Ruiz de la Roja J C, Fernández González I, Ruiz J L, Llorente C, Luján M, Sánchez E, Martín E, Berenguer A

机构信息

Servicio de Urología, Hospital Universitario de Getafe, Madrid.

出版信息

Actas Urol Esp. 1996 Jul-Aug;20(7):672-5.

PMID:8975557
Abstract

It is true that appearance of prostate abscesses is currently not so frequent due to the antibiotic therapy available to stop any kind of infectious process which may trigger abscess formation. Even so, it is important to channel right from the beginning the correct diagnosis and treatment in order to avoid, as far as possible, any complications that may derive from the process. This paper deals with the case of a young patient diagnosed in our service with a prostate abscess, and faced with that suspicion we advocated the use of transrectal ultrasound (TRU) as the method for diagnostic imaging. Also, TRU offers great help as guidance in the transperineal puncture, so as to drain the purulent content. It should not be forgotten the valuable information provided by ultrasound to confirm that the treatment used was effective.

摘要

的确,由于现有的抗生素疗法能够阻止任何可能引发脓肿形成的感染过程,目前前列腺脓肿的出现并不那么频繁。即便如此,从一开始就进行正确的诊断和治疗很重要,以便尽可能避免该过程可能产生的任何并发症。本文讲述了一名在我们科室被诊断为前列腺脓肿的年轻患者的病例,面对这种怀疑,我们主张使用经直肠超声(TRU)作为诊断成像方法。此外,TRU在经会阴穿刺引流脓性内容物时提供了极大的指导帮助。不应忘记超声所提供的宝贵信息,以确认所采用的治疗方法是有效的。

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