Fan Xuejie, Tao Shudong
Department of Otorhinolaryngology Head and Neck Surgery, The Third Central Hospital of Tianjin, Tianjin, China.
Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Tianjin, China.
Gland Surg. 2021 Apr;10(4):1431-1438. doi: 10.21037/gs-21-120.
Deep neck space abscess is a common disease in otolaryngology-head, and neck surgery emergencies that result in significant morbidity with potential mortality. Traditional incision drainage with antibiotics is widely accepted worldwide. Recent studies have shown that ultrasound-guided drainage is an effective strategy and is less invasive for patients. The present study aimed to explore the difference between puncture and drainage guided by B-ultrasound and traditional surgical incision in treating deep neck space abscess.
A total of 60 patients with deep neck abscess were enrolled in the present study; 43 were distributed to the B-ultrasound puncture drainage group and 17 to the incision drainage group. Clinical data were collected, and differences between the 2 treatment options were compared.
There were no differences in patients' systemic illness, age, and clinical features (diameter of an abscess, amount of drainage in first 3 days, and body temperature). The cure rate of both groups was 100%; the number of hospitalization days of the B-ultrasound-guided puncture group (8 days) was significantly less than that of the incision drainage group (10.8 days).
Puncture drainage of neck abscess guided by B-ultrasound is a safe and effective treatment method and can reduce the patient's hospital stay.
颈部深部间隙脓肿是耳鼻咽喉-头颈外科常见的急症疾病，可导致严重的发病率和潜在的死亡率。传统的切开引流联合抗生素治疗在全球范围内被广泛接受。最近的研究表明，超声引导下引流是一种有效的治疗策略，对患者的侵袭性较小。本研究旨在探讨B超引导下穿刺引流与传统手术切开治疗颈部深部间隙脓肿的差异。
本研究共纳入60例颈部深部脓肿患者；43例被分配至B超穿刺引流组，17例被分配至切开引流组。收集临床资料，并比较两种治疗方法的差异。
两组患者的全身疾病、年龄和临床特征（脓肿直径、前3天引流量和体温）无差异。两组的治愈率均为100%；B超引导穿刺组的住院天数（8天）明显少于切开引流组（10.8天）。
B超引导下颈部脓肿穿刺引流是一种安全有效的治疗方法，可缩短患者的住院时间。
