PDF(Pubmed)
Abstract：
A 52-year-old male patient presented with complaints of abdominal and back pain. CT revealed a deep pelvic abscess extending into the anterior sacral space. Since puncture via the conventional transgluteal approach cannot reach a deep abscess, percutaneous pelvic abscess drainage was performed under CT fluoroscopy using the cranio-caudal puncture technique. The cranio-caudal puncture requires needle insertion perpendicular to the CT cross-section. This method advances the CT gantry deeper than the needle tip and follows the CT cross-section with the needle tip. This series of images and movements continues until the needle reaches the target. The procedure was successful without complications, the abscess was reduced in size, and blood test data improved. The cranio-caudal puncture technique provides an alternative for the drainage of deep pelvic abscesses that avoids the complications associated with gluteal muscle puncture. Percutaneous drainage of pelvic abscesses under CT fluoroscopy-guided cranio-caudal puncture offers a safe option as a puncture route for deep pelvic abscesses.
摘要：
一名52岁的男性患者出现腹部和背部疼痛的抱怨。CT显示深骨盆脓肿延伸到the前腔。由于通过传统的经臀入路穿刺无法到达深部脓肿，在CT透视下使用颅尾穿刺技术进行经皮盆腔脓肿引流。颅尾穿刺需要垂直于CT横截面插入针。该方法将CT台架推进到比针尖更深的位置，并跟随针尖的CT横截面。这一系列的图像和运动继续直到针到达目标。手术成功，没有并发症，脓肿缩小了,血液检测数据有所改善。颅尾穿刺技术为深骨盆脓肿的引流提供了一种替代方法，可以避免与臀肌穿刺相关的并发症。CT透视引导下颅尾穿刺经皮盆腔脓肿引流为深盆腔脓肿的穿刺途径提供了一种安全的选择。
