一种膀和骨盆死空间炎症的病例成功地用内镜超声波排水治疗
Kazuhiro Hiyama1, Izumi Kirino1, Yasuo Fukui1
1Department of Surgery Atago Hospital Kochi Japan.
Clinical case reports
|October 9, 2023
概括
干预性内镜超声波 (EUS) 在一个直肠癌患者中,通过阴道管成功排出了膀和骨盆. 这种新的EUS指导的方法为复杂的术后感染提供了有效的治疗方法.
科学领域:
- 胃肠病学 胃肠病学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
背景情况:
- 膀和骨盆死亡空间的术后炎症可能发生在直肠癌手术和大肠管道安置后.
- 一名77岁的男性患者在化疗后由于膀和骨盆死空间炎症而出现了反复发作的高烧.
- 之前的透皮排水未能解决感染,需要一种新的方法.
研究的目的:
- 报告第一次成功使用干预性内镜超声波 (EUS) 通过阴道导管排出膀和骨盆死空间炎症.
- 评估EUS引导排水在治疗复杂的术后感染方面的有效性.
主要方法:
- 一名77岁的男性患者在病史中患有直肠癌,腹腔骨髓切除和状管,患有复发性骨盆死空间炎症.
- 最初的穿皮疏通未能提供长期解决方案.
- 在EUS指导下,将塑料支架通过阴道管进入骨盆死空间进行了持续排水.
主要成果:
- 通过EUS引导的支架成功控制了复发的膀和骨盆死空间炎症.
- 这种微创的方法提供了有效的长期排水,解决了感染.
结论:
- 干预性内镜超声波 (EUS) 是一种可行且有效的方法,用于排水盆腔腹和死空间炎症,特别是在通过阴茎管道进入时.
- 应考虑EUS导向排水作为管理这些具有挑战性的术后并发症的常规选择.
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