Department of Otorhinolaryngology, Children's Hospital "Ospedale Pediatrico Bambino Gesù - IRCCS", Rome, Italy.
Department of Otorhinolaryngology, Children's Hospital "Ospedale Pediatrico Bambino Gesù - IRCCS", Rome, Italy.
Int J Pediatr Otorhinolaryngol. 2021 Oct;149:110850. doi: 10.1016/j.ijporl.2021.110850. Epub 2021 Jul 21.
Cervical abscesses frequently occurred in pediatric patients. Surgical drainage is currently recommended in the cases not responding to medical therapy. Needle aspiration may represent a simple, effective and minimally invasive treatment for acute neck suppuration in selected cases.
To evaluate the effectiveness of needle aspiration in the treatment of cervical abscesses in pediatric age as an alternative to surgical drainage.
From November 2013 to November 2019, at the ENT Department of the "Bambino Gesù" Pediatric Hospital, Rome, we treated 47 children with cervical abscess by performing aspiration with a 19 G needle in wakefulness after applying local anesthetic. Parenteral antibiotic treatment was associated with all patients both before and after treatment.
Complete regression of the abscess occurred in 46 children with no evidence of recurrence in the follow-up period. Surgical drainage was required in only one patient due to the lack of resolution of the abscess episode. No complications such as hematomas or hypertrophic scars were found in any patient.
Our results confirm the effectiveness of needle aspiration in the treatment of cervical abscesses in children as an alternative to surgical drainage.
颈椎脓肿在儿科患者中较为常见。对于那些对药物治疗无反应的患者，目前建议进行手术引流。在某些特定情况下，对于急性颈部脓肿，经皮穿刺抽吸可能是一种简单、有效且微创的治疗方法。
评估经皮穿刺抽吸术在儿科颈椎脓肿治疗中的有效性，将其作为手术引流的替代方法。
2013 年 11 月至 2019 年 11 月，在罗马“Bambino Gesù”儿童医院耳鼻喉科，我们对 47 例颈椎脓肿患儿在局部麻醉后清醒状态下使用 19G 针进行抽吸治疗。所有患儿在治疗前后均接受了全身抗生素治疗。
46 例患儿的脓肿完全消退，在随访期间均无复发。仅 1 例患儿因脓肿未完全消退而行手术引流。所有患儿均未出现血肿或肥厚性瘢痕等并发症。
我们的结果证实了经皮穿刺抽吸术在儿科颈椎脓肿治疗中的有效性，可作为手术引流的替代方法。
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