[1]陈兴　 马远征　 薛海滨.经皮穿刺置管引流结合抗痨治疗结核性髂腰肌脓肿[J].中国微创外科杂志,2003,03(4):359-361.
　ChenXing,Ma Yuanzheng,XueHaibin..Percutaneous catheter drainage combined with antituberculosis chemotherapy in the management of tuberculous iliopsoas abscesses[J].Chinese Journal of Minimally Invasive Surgery,2003,03(4):359-361.
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经皮穿刺置管引流结合抗痨治疗结核性髂腰肌脓肿()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
03
期数:
2003年4期
页码:
359-361
栏目:
争鸣园地
出版日期:
2003-04-30

文章信息/Info

Title:
Percutaneous catheter drainage combined with antituberculosis chemotherapy in the management of tuberculous iliopsoas abscesses
作者:
陈兴　 马远征　 薛海滨
解放军309医院骨科医院骨科,全军结核病研究中心,北京,100091
Author(s):
ChenXing; Ma Yuanzheng; XueHaibin.
Department ofOrthopaedics,OrthopaedicsHospital ofNo. 309Hospital ofPLA.Beijing100091, China
关键词:
经皮置管引流;  髂腰肌脓肿;  结核性脓肿;  脊柱结核
Keywords:
Percutaneous catheter drainage; 　Iliopsoas abscess; 　Tuberculous abscess; 　Spinal tuberculosis
分类号:
R681.5
文献标志码:
B
摘要:
目的评价B超引导下经皮穿刺置管引流(PCD)结合全身抗痨治疗结核性髂腰肌脓肿的适应证和临床效果. 方法回顾分析1997年2月～2001年10月PCD治疗的结核性髂腰肌脓肿36例(48个脓肿),影像学证实脊柱结核者34例,椎体破坏轻,不伴严重后凸畸形、椎体不稳或截瘫.抗结核化疗时间1年～1.5年. 结果引流时间8天～30天,平均14天,脓肿首次治愈率85.4%(41/48),失败7个,3个脓肿复发经再次置管引流后缓解,3例(4个脓肿)椎体病变加重,予以切开手术治疗.其中25例随防14月～5年, 平均40月,
Abstract:
Objective　To evaluate the indications and efficiency of ultrasonography guided percutaneous catheter drainage (PCD) combined with antituberculosis chemotherapy in the management of tuberculous iliopsoas abscesses.　Methods　Aretrospective analysis of 36 patients with tuberculous iliopsoas abscesses (48 lesions) treated by PCD fromFebruary 1997 to October 2001 was made. Thirty-four patients were confirmed imagiologically as spine tuberculosis, without severe vertebral involvement, vertebral instability, severe kyphosis or paraplegia. The duration of antituberculosis chemotherapy ranged 12~18 months.　Results　The mean duration of drainage was 14 days (range, 8~30 days). Out of the 48 lesions, 41 lesions (85·4%) were cured on one session, 3 lesions were found recurrence and cured by second PCDs, and 4 lesionswere found exacerbation and treated by incision and drainage. Follow-up for 14 months~5 years (mean, 40 months) in 25 pa- tients revealed a long-term cure rate 92% (23 of 25) and recurrence in 2 patients which were further treated by operations. No vertebral compression, severe kyphosis or other complications were encountered in this study.　Conclusions　Ultrasonography guided PCD combined with antituberculosis chemotherapy is a simple, safe and effective alternative in the management of tuberculous iliopsoas abscesses, provided there are no severe vertebral damage or vertebral canal involvement.

参考文献/References:

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更新日期/Last Update: 2014-07-02