Simms M H, Curran F, Johnson R A, Oates J, Givel J C, Chabloz R, ALexander-Williams J
Br Med J (Clin Res Ed). 1982 Jun 19;284(6332):1827-9. doi: 10.1136/bmj.284.6332.1827.
In the treatment of acute pyogenic soft-tissue abscess incision, curettage, and primary suture was compared with incision and drainage alone in a randomised prospective trial. Operations were performed under antibiotic cover by casualty officers, and patients were reviewed by an independent observer in a septic dressing clinic. Altogether 114 patients were studied, of whom 54 were treated by curettage and primary suture and 60 by simple drainage. The mean healing time was 8.9 days in those treated by primary suture and 7.8 days in those treated by simple drainage (p less than 0.05). Primary healing failed to occur in 19 (35%) of the sutured wounds, but there were no other complications in either group. It is concluded that incision and drainage alone is adequate treatment for acute soft-tissue abscess.
在一项随机前瞻性试验中，对急性化脓性软组织脓肿切开、刮除及一期缝合与单纯切开引流的治疗效果进行了比较。手术由急诊外科医生在抗生素覆盖下进行，患者在脓毒症换药诊所由独立观察者进行复查。总共研究了114例患者，其中54例接受了刮除及一期缝合治疗，60例接受了单纯引流治疗。一期缝合治疗的患者平均愈合时间为8.9天，单纯引流治疗的患者平均愈合时间为7.8天（p<0.05）。19例（35%）缝合伤口未实现一期愈合，但两组均无其他并发症。结论是，单纯切开引流足以治疗急性软组织脓肿。
