印度南部一家三级医疗中心髂腰肌脓肿的临床表现、病因、治疗及结果
Clinical presentation, etiology, management, and outcomes of iliopsoas abscess from a tertiary care center in South India.
作者信息
Rodrigues Joanne, Iyyadurai Ramya, Sathyendra Sowmya, Jagannati Manjeera, Prabhakar Abhilash Kundavaram Paul, Rajan Sudha Jasmine
机构信息
Department of Anaesthesia, Christian Medical College, Vellore, Tamil Nadu, India.
Department of Medicine, Christian Medical College, Vellore, Tamil Nadu, India.
出版信息
J Family Med Prim Care. 2017 Oct-Dec;6(4):836-839. doi: 10.4103/jfmpc.jfmpc_19_17.
INTRODUCTION
Iliopsoas abscess (IPA) is the collection of pus in the iliopsoas compartment. The etiology of IPA is variable and depends on the geographical area and the antibiotic usage prevalence in that area. This study attempts to evaluate the etiology, clinical features, risk factors, management modalities, and outcomes in patients with IPA from a tertiary care center in South India.
MATERIALS AND METHODS
This was a retrospective study done in a tertiary care center in South India. Patient details were obtained from electronic medical records.
RESULTS
A total of 43 patients were enrolled in the study, the causative organism could be identified in 20 (46.5%) patients. The most common etiology was tuberculosis (TB). Most (23 [56.5%]) patients were treated conservatively, 20 (46.5%) patients were treated with percutaneous drainage (PCD), and 2 (4%) patients required surgery.
CONCLUSION
The most common cause of IPA is TB. PCD was successful in 95% of the patients with complete resolution of symptoms.
引言
髂腰肌脓肿（IPA）是指髂腰肌间隙内的脓液积聚。IPA的病因多种多样，取决于所在地理区域及其抗生素使用流行情况。本研究旨在评估印度南部一家三级医疗中心IPA患者的病因、临床特征、危险因素、治疗方式及治疗结果。
材料与方法
这是一项在印度南部一家三级医疗中心开展的回顾性研究。患者详细信息从电子病历中获取。
结果
本研究共纳入43例患者，其中20例（46.5%）患者的致病生物体得以鉴定。最常见的病因是结核病（TB）。大多数（23例[56.5%]）患者接受保守治疗，20例（46.5%）患者接受经皮引流（PCD）治疗，2例（4%）患者需要手术治疗。
结论
IPA最常见的病因是TB。PCD治疗对95%的患者有效，症状完全缓解。
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