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通过皮肤穿过膀排水的盆腔,由西格分泌炎引起的:两个病例报告
Yosuke Nozawa1, Koichi Masuda1, Kyoko Arahata2
1Department of Radiology, Tokyo Dental College Ichikawa General Hospital, 5-11-13 Sugano, Ichikawa-shi, Chiba 272-8513, Japan.
Radiology case reports
|August 21, 2023
概括
一种新的跨膀方法用于图像引导的排水,有效地治疗了在西格样分泌炎患者的复发性骨盆. 这种最少的侵入性技术为标准排水方法提供了一个有希望的替代方案,防止复发.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
- 手术瘤学手术瘤学
背景情况:
- 西格突炎可能导致严重的盆腔,与高死亡率 (高达35%) 和复发性疾病有关.
- 对于盆腔的标准图像引导排水方法,由于盆腔解剖学,面临技术挑战.
- 反复发生的盆腔对患者的健康和治疗结果构成重大风险.
研究的目的:
- 评估通过皮肤穿过膀的图像引导排水方法在治疗复发性骨盆的疗效.
- 为复杂的盆腔提供一种更简单,更少侵入性的替代标准排水技术.
- 评估通过膀排水后的复发率,以评估与西格突炎相关的盆腔.
主要方法:
- 在两名患有复发性盆腔的患者中,使用皮肤穿膀方法进行了图像引导的排水.
- 使用了一种简化的一步穿孔技术和7法式排水导管.
- 计算机断层扫描 (CT) 或超声波指导排水程序.
主要成果:
- 在这两种情况下,成功地实现了盆腔的排水.
- 随访CT扫描证实完全消失.
- 在随访期间没有观察到盆腔的复发.
结论:
- 通过皮肤穿过膀的方法是治疗盆腔的有效和不那么侵入性的替代方案.
- 这种方法克服了标准排水方法在复杂情况下的局限性.
- 跨膀排水证明了在西格体膜炎患者中预防复发性盆腔的潜力.
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