彩超引导下经皮穿刺置管引流在结核性髂腰肌脓肿治疗中的应用价值

摘要

Objective To evaluate the clinical effectiveness of color ultrasound-guided PCD (Percutaneous Catheter Drainage) in treatment of tuberculous iliopsoas abscesses. Methods Twenty-one patients with 27 tuberculous iliopsoas abscesses who have been treated in the hospital from February 2008 to February 2012 were selected and retrospectively analyzed. All the patients were treated with the color ultrasound-guided PCD on the basis of systemic anti-tuberculosis chemotherapy. Results The drainage duration ranged from 15 to 26 days with the average duration of 19 days. During the 10-to-24-month follow-up period, 20 patients were clinically cured without recurrence and complications;1 patient was clinically cured with the second drainage because of recurrence. Conclusion Color ultrasound-guided percutaneous catheter drainage has proven itself as a minimally-invasive and easy-to-operate method in safe and effective treatment of tuberculous iliopsoas abscesses.%目的：评价彩超引导下经皮穿刺置管引流治疗结核性髂腰肌脓肿的临床疗效。方法选择2008年2月～2012年2月我院收治的21例结核性髂腰肌脓肿患者（共27个脓肿），均在全身抗结核治疗的基础上采用彩超引导下经皮穿刺置管引流术进行治疗。结果患者引流时间为15～26 d，平均19 d，随访10～24个月。其中20例患者病变愈合，且无复发及并发症；1例患者脓肿复发，经再次置管引流后病变愈合。结论在全身抗结核治疗的基础上，采用彩超引导下经皮穿刺置管引流术治疗结核性髂腰肌脓肿是一种创伤小、操作简单、安全有效的方法。