Knight J M, Thomas J C, Maurer R C
Clin Orthop Relat Res. 1986 May(206):90-3.
Ten cases of septic olecranon bursitis and two cases of septic prepatellar bursitis were treated in the period from 1975 to 1980 with antibiotics and percutaneous tube placement for suction-drainage and local antibiotic irrigation. All patients had positive bacterial cultures: Staphylococcus aureus in nine, beta-hemolytic Streptococcus in two, and Staphylococcus epidermidis in one. Intravenous antibiotics, local suction-drainage, and irrigation with a solution of 1% kanamycin and 0.1% polymyxin controlled the infection in each case. The antibiotic treatment averaged 19 days, compared with 24 days in a series in which suction-irrigation was not used. In contrast with studies in which aspiration or incision and drainage were performed, there were no complications or recurrences. Percutaneous suction-irrigation appears to be a safe, effective method of treatment that is particularly beneficial in severe cases of septic bursitis in which continuous drainage is desirable.
1975年至1980年期间，对10例化脓性鹰嘴滑囊炎和2例化脓性髌前滑囊炎患者采用抗生素治疗，并经皮置管进行抽吸引流及局部抗生素灌洗。所有患者的细菌培养均呈阳性：9例为金黄色葡萄球菌，2例为β溶血性链球菌，1例为表皮葡萄球菌。静脉使用抗生素、局部抽吸引流以及用1%卡那霉素和0.1%多粘菌素溶液灌洗，控制了每例患者的感染。抗生素治疗平均持续19天，而在未采用抽吸灌洗的一组病例中，平均治疗时间为24天。与进行穿刺抽吸或切开引流的研究不同，本研究未出现并发症或复发情况。经皮抽吸灌洗似乎是一种安全、有效的治疗方法，对于需要持续引流的严重化脓性滑囊炎病例尤其有益。
