Dabirmoghaddam P, Mohseni A, Navvabi Z, Sharifi A, Bastaninezhad S, Safaei A
Otolaryngology Research Center,Amiralam Hospital,Tehran University of Medical Sciences,Iran.
J Laryngol Otol. 2017 Mar;131(3):259-263. doi: 10.1017/S002221511700007X. Epub 2017 Jan 26.
Deep neck space abscesses are common head and neck surgery emergencies. Traditionally, surgical incision and drainage has been the main treatment for deep neck abscesses. Recently, it has been suggested that ultrasound-guided drainage of neck abscesses can be an effective and less invasive alternative to incision and drainage.
Patients with deep neck space abscesses referred to the emergency department of Amiralam Hospital were assessed and enrolled to the study if they met the inclusion criteria. Patients were randomly assigned to incision and drainage or ultrasound-guided drainage groups using sealed envelopes.
Sixty patients were evaluated, with 30 patients in each group. There was a significant difference (p < 0.001) in mean length of hospital stay between patients who underwent ultrasound-guided drainage (5.47 days) and those who underwent incision and drainage (9.70 days).
Ultrasound-guided drainage is an effective and safe procedure, leading to shorter hospital stay, and thus may be a suitable alternative to incision and drainage of deep neck abscesses.
颈部深部间隙脓肿是常见的头颈外科急症。传统上，手术切开引流一直是颈部深部脓肿的主要治疗方法。最近，有人提出超声引导下颈部脓肿引流可作为切开引流的一种有效且侵入性较小的替代方法。
转诊至阿米拉尔姆医院急诊科的颈部深部间隙脓肿患者，若符合纳入标准，则进行评估并纳入研究。使用密封信封将患者随机分配至切开引流组或超声引导引流组。
共评估了60例患者，每组30例。接受超声引导引流的患者（5.47天）与接受切开引流的患者（9.70天）相比，平均住院时间存在显著差异（p < 0.001）。
超声引导引流是一种有效且安全的操作，可缩短住院时间，因此可能是颈部深部脓肿切开引流的合适替代方法。
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