本文選題：盆腔膿腫 + CT引導(dǎo)　； 參考：《中華醫(yī)院感染學(xué)雜志》2015年08期

【摘要】：目的探討CT引導(dǎo)下經(jīng)皮穿刺引流直腸癌術(shù)后繼發(fā)盆腔膿腫的可行性、療效和影響臨床療效的因素,為臨床治療提供參考依據(jù)。方法選取2005年5月-2013年8月37例直腸癌術(shù)后發(fā)生盆腔膿腫,內(nèi)科保守治療失敗后接受CT引導(dǎo)下經(jīng)皮穿刺膿腫引流術(shù),采用SPSS16.0軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果 CT引導(dǎo)下盆腔膿腫穿刺引流技術(shù)臨床成功率為100.00%;穿刺置管采用斜路徑4例占10.81%、前路徑7例占18.92%和后路徑26例占70.27%,穿刺置管時(shí)間20~90min、導(dǎo)管留置時(shí)間0~45d、引流液0~2 500ml;病原菌培養(yǎng)陽性31例,陽性率83.78%,大腸埃希菌是主要致病菌,共30株,占96.78%;臨床失敗共5例,均接受手術(shù)治療;臨床療效與不同型號(hào)的導(dǎo)管(P0.001)和是否存在吻合口瘺(P=0.001)有關(guān);輕微并發(fā)癥4例,發(fā)生率10.81%。結(jié)論設(shè)計(jì)合理的穿刺路徑,行CT引導(dǎo)下經(jīng)皮穿刺引流直腸癌術(shù)后繼發(fā)盆腔膿腫安全、有效,采用≥8F的留置導(dǎo)管、無吻合口瘺臨床療效好。
[Abstract]:Objective to explore the feasibility, curative effect and influencing factors of secondary pelvic abscess after percutaneous puncture drainage under CT guidance, and to provide reference for clinical treatment. Methods from May 2005 to August 2013, 37 cases of pelvic abscess occurred after rectal cancer operation. After the failure of conservative medical treatment, CT guided percutaneous puncture drainage of abscess was performed. SPSS16.0 software was used for statistical analysis. Results the clinical success rate of CT guided drainage technique for pelvic abscess was 100.00.The oblique path was used in 4 cases (10.81%), the anterior pathway was 18.92% (7 cases) and the posterior path was 70.27% (26 cases). The puncture time was 2090 min, the indwelling time was 045 days, and the drainage fluid was 02. Positive culture of pathogenic bacteria in 31 cases, The positive rate was 83.78. Escherichia coli was the main pathogenic bacteria, accounting for 96.78%, 5 cases of clinical failure were treated by surgery, the clinical efficacy was related to the different types of ducts (P0.001) and the existence of anastomotic fistula (P0.001), and slight complications occurred in 4 cases (10.81%). Conclusion it is safe and effective to design a reasonable puncture path and to perform CT guided percutaneous drainage of secondary pelvic abscess after rectal cancer operation. No anastomotic fistula can be obtained by using a indwelling catheter with 鈮，

本文編號(hào)：1981319