US-GUIDED TRANSVAGINAL DRAINAGE OF PELVIC ABSCESSES AND FLUID COLLECTIONS

被引:79
作者
VANSONNENBERG, E [1 ]
DAGOSTINO, HB [1 ]
CASOLA, G [1 ]
GOODACRE, BW [1 ]
SANCHEZ, RB [1 ]
TAYLOR, B [1 ]
机构
[1] UNIV CALIF SAN DIEGO,MED CTR,DEPT MED,SAN DIEGO,CA 92103
关键词
ABSCESS; US STUDIES; INTERVENTIONAL PROCEDURES; PELVIS; ULTRASOUND (US) GUIDANCE; ULTRASOUND; (US); INTRAOPERATIVE;
D O I
10.1148/radiology.181.1.1887056
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
Ultrasound (US)-guided transvaginal needle or catheter drainage was performed in 14 women for a variety of pelvic abscesses and fluid collections; tubo-ovarian abscesses and postoperative collections were most common. Diagnosis was achieved in all 14 patients (100%), including one patient with suspected ovarian carcinoma who underwent only diagnostic needle aspiration and no therapeutic drainage. Abscesses or fluid collections were evacuated in 13 of 13 patients (100%) with either needle (n = 7) or catheter (n = 6) drainage (with appropriate antibiotics). Twelve of the 14 patients (86%) were spared an operation; surgery was undertaken in two patients for a persistent tubo-ovarian phlegmon. No major complications were associated with drainage. Catheters were removed an average of 6.7 days after insertion. The success, safety, and advantages of US-guided transvaginal drainage in our early experience suggest its use as an alternative to standard percutaneous catheter procedures to diagnose and drain certain pelvic abscesses and fluid collections.
引用
收藏
页码:53 / 56
页数:4
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