超声引导经皮穿刺置管引流术治疗腰大肌脓肿的安全性及有效性研究OA
Study on the safety and efficacy of US-PCD in treating PMA
目的:评价超声引导下经皮穿刺置管引流术在腰大肌脓肿治疗中的安全性和有效性.方法:回顾性分析2017年8月至2025年3月北京友谊医院收治的因腰大肌脓肿行超声引导下经皮穿刺置管引流术的21例患者,记录并分析技术成功率、临床症状和实验室指标缓解情况、引流管留置时间、总住院时间及相关并发症的情况.结果:21例患者均成功完成超声引导下经皮穿刺置管引流术,手术成功率100%.平均随访时间(29.7±30.6)个月.所有患者术前白细胞计数为(11.7±4.8)×109/L,术后1、3及7 d白细胞计数分别降至(7.8±3.8)×109/L、(7.2±3.4)×109/L和(6.1±3.2)×109/L,均较术前明显下降,差异均有统计学意义(t=2.376、2.739、4.105,P＜0.05).术前平均体温(38.2±1.1)℃,术后1、3及7 d分别降至(37.2±0.7)℃,(36.9±0.7)℃和(36.6±0.6)℃,差异均有统计学意义(t=2.731、3.430、4.667,P＜0.05).C反应蛋白(CRP)术后3和7 d均较术前明显下降,差异均有统计学意义(Z=2.286、3.629,P＜0.05).所有患者平均置管时间为(16.9±12.5)d,平均住院时间(25.0±15.3)d.主要并发症发生率为一过性低热(3例),穿刺点出血(1例),未发生肠管损伤,大出血等严重并发症.结论:超声引导下经皮穿刺置管引流术治疗腰大肌脓肿定位准确、创伤小、并发症少且疗效确切,是一种安全有效的微创治疗方法.
Objective:To evaluate the safety and efficacy of ultrasound-guided percutaneous catheter drainage(US-PCD)in treating psoas muscle abscess(PMA).Methods:A retrospective analysis was conducted on clinical data of 21 patients with PMA who underwent US-PCD at Beijing Friendship Hospital during August 2017 and March 2025.The success rate of technique,relief situation of clinical symptom,relief situation of laboratory indicators,indwelling time of catheter,total hospital stay,and related complications were recorded and analyzed.Results:All 21 patients successfully completed US-PCD,and the success rate of surgery was 100%.The mean follow-up time was(29.7±30.6)months.The preoperative white blood cell count of all patients was(11.7±4.8)×109/L,and it decreased respectively to(7.8±3.8)×109/L,(7.2±3.4)×109/L,and(6.1±3.2)×109/L at the 1st,3rd,and 7th day after surgery,all of which significantly decreased than those before surgery,and the differences of them between before and after surgery were significant(t=2.376,2.739,4.105,P<0.05).The preoperative mean body temperature was(38.2±1.1)℃,and it decreased respectively to(37.2±0.7)℃,(36.9±0.7)℃,and(36.6±0.6)℃at the 1st d,3rd d,and 7th day after surgery,and the differences were statistically significant(t=2.731,3.430,4.667,P<0.05).C-reactive protein(CRP)levels at the 3rd d and 7th day after surgery were significantly lower than those before surgery,with statistically significant differences(Z=2.286,3.629,P<0.05).The mean indwelling time of catheter of all patients was(16.9±12.5)days,and the mean hospital stay was(25.0±15.3)days.The incidence of main complications included transient low-grade fever(3 cases)and bleeding at puncture site(1 case).There was no severe complications such as intestinal injury or massive hemorrhage.Conclusion:US-PCD technique has a series of advantages,including accurate positioning,minimal invasion,a few of complications and accurate therapeutic effect,in treating PMA,which is a safe and effective minimally invasive treatment.
徐瑞芳;井好雨;钱林学;刘玉江
首都医科大学附属北京友谊医院超声科 北京 100050首都医科大学附属北京友谊医院超声科 北京 100050首都医科大学附属北京友谊医院超声科 北京 100050首都医科大学附属北京友谊医院超声科 北京 100050
医药卫生
腰大肌经皮穿刺置管引流术脓肿超声
Psoas musclePercutaneous catheter drainage(PCD)AbscessUltrasound
《中国医学装备》 2026 (5)
65-68,91,5
评论