在急性儿科乳腺炎中保守的管理结果
Jumana Diana Reda1,2, Per Caye-Thomasen3,4,5,6
1Department of Oto-Rhino-Laryngology, Head and Neck Surgery, and Audiology, Entrance 6, 3rd Floor, Section 6033, Copenhagen, Denmark.
概括
对儿童急性乳腺炎 (AM) 的保守性手术治疗显示出良好的结果,成功率高,并发症罕见. 这种方法与更激进的治疗方法一样有效,导致住院时间缩短.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿童传染病 儿童传染病
- 外科手术的结果
背景情况:
- 急性乳腺炎 (AM) 是一种严重的中耳感染.
- 评估保守手术治疗对儿科AM发病率的影响至关重要.
- 了解AM的当前流行病学和微生物学对于有效管理至关重要.
研究的目的:
- 评估小儿急性乳腺炎 (AM) 的初始保守性手术治疗是否会增加发病率.
- 更新有关AM的流行病学和微生物学知识.
- 为了比较保守管理与初级乳腺切除术的结果.
主要方法:
- 从2017-2021年对儿科AM病例 (n=73) 的回顾性分析.
- 保守性手术治疗 (针吸入/切口) 与乳腺切除术的比较结果.
- 收集了关于流行病学,微生物学和治疗结果的数据,包括骨下的病例 (n=26).
主要成果:
- 在94%的病例中,保守的治疗解决了AM;在92%的骨下的病例中,初始的保守治疗治愈了AM.
- 并发症很少发生 (1.4%),住院时间很短 (平均2.9天).
- 在COVID-19大流行期间,AM发生率下降;细菌对青素/青素的耐药性为11%/33%.
结论:
- 儿科AM的初始保守管理产生了有利的结果,与更积极的外科手术方法相比.
- 保守的治疗与罕见的并发症和更短的住院时间有关.
- 在COVID-19期间,AM发生率较低,尽管有疫苗接种计划,但流行病学稳定.
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