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开放性引流与经皮引流治疗热带脓性肌炎的前瞻性随机研究

OPEN DRAINAGE VERSUS PERCUTANEOUS DRAINAGE IN THE TREATMENT OF TROPICAL PYOMYOSITIS. PROSPECTIVE AND RANDOMIZED STUDY.

作者信息

Palacio Evandro Pereira, Rizzi Nívea Gitahy, Reinas Gustavo Serra, Júnior Melvis Michiuti, Júnior Alcides Durigan, Mizobuchi Roberto Ryuiti, Yanasse Ricardo Hideki, da Silva Marcos Vinícius Muriano, Branco Rodrigo Borsatto, Galbiatti José Antônio

机构信息

Assistant Professor in the Department of Orthopedics and Traumatology, Marília School of Medicine, Marília, SP.

Resident Physician in the Department of Orthopedics and Traumatology, Marília School of Medicine, Marília, SP.

出版信息

Rev Bras Ortop. 2015 Nov 17;45(3):260-8. doi: 10.1016/S2255-4971(15)30366-9. eCollection 2010 May-Jun.

DOI:10.1016/S2255-4971(15)30366-9
PMID:27022550
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4799144/
Abstract

OBJECTIVE

To compare the results from treating tropical pyomyositis through percutaneous drainage of abscesses versus open surgical drainage of abscesses, by means of a randomized prospective study.

METHODS

Twenty-five patients with tropical pyomyositis (Chiedozi grade II) were included in this study. They were randomized into two groups: group A (n = 13), treated with antibiotics and open drainage of the abscesses; and group B (n = 12), treated with antibiotics and percutaneous drainage of the abscesses.

RESULTS

The mean age was 35.3 years (± 19.2) in group A and 30.1 years (± 9) in group B (p = 0.41). There were eight female patients (61.5%) and five male patients (38.5%) in group A; in group B, three were female (25%) and nine were male (75%) (p = 0.11). Staphylococcus aureus was the microorganism most frequently found (72%). The mean hospital stay in group A was 12.7 days (± 2.3), and in group B, 10.6 days (± 1.6) (p = 0.01). The mean duration of antibiotic use in group A was 12.2 days (± 2.3), and in group B, 10.1 days (± 1.5) (p = 0.02).

CONCLUSION

Percutaneous drainage of the abscesses, in association with antibiotic therapy, is an efficient treatment method for tropical pyomyositis grade II, with shorter antibiotic use and hospital stay for patients.

摘要

目的

通过一项随机前瞻性研究，比较经皮脓肿引流术与脓肿切开引流术治疗热带脓性肌炎的效果。

方法

本研究纳入25例热带脓性肌炎（Chiedozi II级）患者。他们被随机分为两组：A组（n = 13），采用抗生素及脓肿切开引流术治疗；B组（n = 12），采用抗生素及经皮脓肿引流术治疗。

结果

A组的平均年龄为35.3岁（±19.2），B组为30.1岁（±9）（p = 0.41）。A组有8例女性患者（61.5%）和5例男性患者（38.5%）；B组有3例女性（25%）和9例男性（75%）（p = 0.11）。金黄色葡萄球菌是最常见的微生物（72%）。A组的平均住院时间为12.7天（±2.3），B组为10.6天（±1.6）（p = 0.01）。A组抗生素使用的平均时长为12.2天（±2.3），B组为10.1天（±1.5）（p = 0.02）。

结论

经皮脓肿引流术联合抗生素治疗是治疗II级热带脓性肌炎的有效方法，可缩短患者抗生素使用时间和住院时间。

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