针吸术作为儿童化脓性颈淋巴结炎的治疗手段
Needle aspiration as therapeutic management for suppurative cervical lymphadenitis in children.
作者信息
Baek Mee Young, Park Kyung Hee, We Ju Hee, Park Su Eun
机构信息
Department of Pediatrics, Pusan National University School of Medicine, Yangsan, Korea.
出版信息
Korean J Pediatr. 2010 Aug;53(8):801-4. doi: 10.3345/kjp.2010.53.8.801. Epub 2010 Aug 31.
PURPOSE
This study aimed to evaluate the usefulness of the needle aspiration alternative to open surgical drainage of children with suppurative cervical lymphadenitis requiring surgical drainage.
METHODS
From January 1998 to June 2008, we retrospectively reviewed 38 children treated with needle aspiration as management with suppurative cervical lymphadenitis instead of open surgical drainage.
RESULTS
All 38 children underwent only 1 puncture. Two patients (5.2%) out of 38 patients experienced reformation of an abscess and all recovered completely after re-treatment with antibiotics. Minor complications were detected in 2 patients (5.2%). One complication originated from remnant necrotic tissue and the other involved formation of a small scar in two patients, which resolved spontaneously. There were no major complications.
CONCLUSION
Needle aspiration can be a simple, safe, and effective alternative procedure to open surgical drainage of children with suppurative cervical lymphadenitis requiring surgical drainage.
目的
本研究旨在评估对于需要手术引流的化脓性颈淋巴结炎患儿，针吸术替代开放性手术引流的有效性。
方法
1998年1月至2008年6月，我们回顾性分析了38例采用针吸术而非开放性手术引流治疗化脓性颈淋巴结炎的患儿。
结果
38例患儿均仅接受了1次穿刺。38例患儿中有2例（5.2%）出现脓肿复发，经再次抗生素治疗后均完全康复。2例（5.2%）患儿出现轻微并发症。1例并发症源于残留坏死组织，另1例涉及2例患儿形成小瘢痕，该瘢痕自行消退。无严重并发症发生。
结论
对于需要手术引流的化脓性颈淋巴结炎患儿，针吸术可以作为一种简单、安全且有效的替代开放性手术引流的方法。
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