■深骨盆脓肿被骨盆骨包围,膀胱,妇科器官,肠道,神经和血管系统,并通过各种途径进行排水。通常在计算机断层扫描指导下进行经臀入路;但是,如果超声检查可用于确认入路,它被认为更有效,因为它减少了辐射暴露,并允许在超声和透视引导下实时穿刺。
■这项回顾性研究是在TobataKyoritsu医院(福冈,日本)2021年4月1日至2022年12月31日。使用3D图像分析系统(SYNAPSEVINCENT)对5例连续的深骨盆脓肿进行了超声引导下经臀位引流和透视检查,以研究安全穿刺的解剖结构。
■三名患者因结直肠癌术后脓肿,一个是由阑尾炎穿孔引起的,还有一个是乙状结肠憩室炎引起的.平均引流时间为11天(SD=6.7)。无并发症,比如出血或神经损伤,被观察到。
■我们使用SYNAPSEVINCENT构建了跨坐骨大孔穿刺路线的3D图像,以客观地理解解剖结构和穿刺路线。理想的经臀围方法是将导管插入尽可能靠近the骨的水平。使用超声引导和透视检查,可以安全,轻松地进行the骨副骨旁方法。
UNASSIGNED: Deep pelvic abscesses are surrounded by the pelvic bones, bladder, gynecological organs, intestinal tract, and nerve and vascular systems, and are approached by various routes for drainage. The transgluteal approach is often performed under computed tomography guidance; however, if ultrasonography can be used to confirm the approach, it is considered more effective because it reduces radiation exposure and allows for real-time puncture under sonographic and fluoroscopic guidance.
UNASSIGNED: This retrospective study was conducted at Tobata Kyoritsu Hospital (Fukuoka, Japan) between April 1, 2021, and December 31, 2022. Sonographically guided transgluteal drainage with fluoroscopy was performed in five consecutive cases of deep pelvic abscesses using a 3D image analysis system (SYNAPSE VINCENT) to study the anatomy for safe puncture.
UNASSIGNED: Three patients had postoperative abscesses from colorectal cancer, one caused by perforation of the appendicitis, and one caused by sigmoid diverticulitis. The average drainage duration was 11 days (SD = 6.7). No complications, such as bleeding or nerve damage, were observed.
UNASSIGNED: We constructed a 3D image of the puncture route of the trans greater sciatic foramen using SYNAPSE VINCENT to objectively comprehend the anatomy and puncture route. The ideal transgluteal approach is to insert the catheter as close to the sacrum as possible at the level of the infrapiriformis. The parasacrum infrapiriformis approach can be performed safely and easily using ultrasound guidance and fluoroscopy.