深部脓肿合并糖尿病患者外科治疗效果分析

目的:探讨B超引导下脓肿穿刺联合切开引流术治疗糖尿病合并深部脓肿与单一方式治疗的疗效差别。方法:将 48 例经B超或CT检查确诊为深部脓肿的患者分为超声引导穿刺引流组（穿刺组）、手术切开引流组( 切开组)以及穿刺联合切开引流组（联合组），比较3组的切口长度、住院时间、脓肿愈合情况及复发情况等。结果:采用穿刺引流联合切开引流患者术后较另外两组患者术后脓腔愈合时间更短，术后1年复发率较穿刺组低，住院时间及切口长度较切开组短，差异均有统计学意义（P<0.05）。结论:对于深部脓肿，将脓肿穿刺引流后再行切开引流效果优于两种中任何一种单一治疗方法，能达到较好的治疗效果，在临床上可用于更好的治疗深部脓肿。

Effect of surgical treatment on patients with deep abscess complicated with diabetes mellitus

Objective: To explore the efficacy of ultrasound guided abscess puncture combined with incision and drainage in the single treatment of diabetic deep abscesses. Methods: Forty-eight patients with deep abscess diagnosed by B-ultrasound or CT were divided into ultrasound guided drainage group (puncture group), surgical incision and drainage group (incision group) and puncture and drainage group (joint group). The length of the incision, the time of hospitalization, the healing of abscess and the recurrence between the three groups were compared. Results: the recovery time for patients with puncture drainage combined with incision and drainage were shorter than those in the other two groups after operation, and the recurrence rate of 1 years after operation was lower than that of the puncture group. The time of hospitalization and the length of incision were shorter than those of the incision group, and the difference was statistically significant(P <0.05). Conclusion: For deep abscess, the effect ofincision drainage after puncture drainage of abscess is better than the other treatments. It can achieve better therapeutic effect and may be used for better treatment of deep abscess in clinical practice.