Transrectal and transvaginal abscess drainage

被引:29
作者
Hovsepian, DM
机构
[1] Mallinckrodt Inst. Radiol., Vasc. I., Washington University Medical Center, St. Louis, MO 63110
关键词
abscess; percutaneous drainage; pelvic organs; ultrasound; guidance;
D O I
10.1016/S1051-0443(97)70602-X
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The TR and TV approaches to deep pelvic abscesses have been made safe and easy by improvements in endoluminal US technology. Most procedures take well under an hour, and standard intravenous sedation is usually sufficient for patient comfort. The simplest and safest technique employs a combination of endoluminal US, with biopsy guides for precision needle advancement, and fluoroscopy for dilating the tract and placing a drainage catheter. Patient acceptance of TR and TV catheters is high, and resolution can typically be expected within 3-5 days. In the majority of cases, catheter treatment, combined with antibiotic therapy, is curative.
引用
收藏
页码:501 / 515
页数:15
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