副喉腹:仅使用抗生素还是开放式手术排水?
Xiaoyun Zhao1, Jingru Ma1, Xiufa Wu1
1Department of Otolaryngology-Head and Neck Surgery, Eye, Ear, Nose & Throat Hospital, Fudan University, Shanghai, PR China.
Ear, nose, & throat journal
|July 19, 2023
概括
在局部病例中,偏腹 (PPA) 治疗可以仅用抗生素有效管理. 与手术相比,这种方法导致PPA患者的住院时间更短,治疗开始更快.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 手术病理学手术病理学
背景情况:
- 副喉腹 (PPA) 在了解其病因,易感因素和最佳治疗策略方面存在挑战.
- 目前用于PPA的治疗方法仍然是临床医生之间的辩论的主题.
研究的目的:
- 调查副喉 (PPA) 的特征,以提高对疾病管理的理解.
- 评估不同治疗方法对PPA的有效性.
主要方法:
- 对49名被诊断患有PPA的患者的医疗记录的回顾性审查.
- 患者最初接受经验性抗生素;手术干预仅适用于药物治疗无效,瘤大小大或疾病进展的病例.
主要成果:
- Streptococcus 被确定为PPA中最常见的致病生物体.
- 与一般人群相比,PPA患者的糖尿病患病率较高.
- 与手术组相比,仅用抗生素治疗组的住院时间更短,从治疗开始到治疗的时间更短 (P < 0.05).
结论:
- 已建立的PPA治疗方案是有效的.
- 仅抗生素治疗是局部PPA对经验性抗生素反应的推和有效选择.
- 早期诊断和及时治疗PPA对于减少疾病严重程度至关重要.
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