Larsen T, Larsen P N, Christophersen S, Moesgaard F, Nielsen M L
Acta Obstet Gynecol Scand. 1986;65(5):459-61. doi: 10.3109/00016348609157385.
Seventy patients were treated for a subcutaneous abscess in the vulva. In 35 consecutive patients the abscess was treated conventionally with deroofing of the abscess and wet dressings. In the other 35 consecutive patients the abscess was treated by incision, curettage and primary suture under antibiotic cover with a single dose of clindamycin. In the conventionally treated group the median stay in hospital was 7 days and the median healing time 18 days. In the group treated by primary suture the median stay in hospital was 2 days and the median healing time 7 days (P less than 0.0001). Recurrence of abscess was observed in one patient in each group. No other complications were observed in either group. It is concluded that vulvar abscesses may be treated safely and advantageously by primary suture under antibiotic cover.
70例患者因外阴皮下脓肿接受治疗。连续35例患者的脓肿采用传统方法治疗，即切开脓肿顶部并进行湿敷。另外连续35例患者的脓肿在抗生素覆盖下（单次剂量克林霉素）通过切开、刮除和一期缝合进行治疗。在传统治疗组中，中位住院时间为7天，中位愈合时间为18天。在一期缝合治疗组中，中位住院时间为2天，中位愈合时间为7天（P<0.0001）。每组各有1例患者出现脓肿复发。两组均未观察到其他并发症。结论是，外阴脓肿在抗生素覆盖下进行一期缝合可安全有效地治疗。
