Comparison of antibiotics and saline irrigation with tube drainage in the treatment of postoperative abdominal and pelvic infectious effusion
10.3760/cma.j.issn.0253-3766.2019.10.009
- VernacularTitle: 超声引导下穿刺引流与抗生素灌注对术后感染性积液的疗效比较
- Author:
Qianqian GUO
1
;
Lijuan NIU
;
Yu CHEN
;
Yong WANG
;
Qing CHANG
;
Rui ZHANG
;
Ningyi CUI
;
Chao SUN
;
Qian WANG
Author Information
1. Department of Ultrasound, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
- Publication Type:Clinical Trail
- Keywords:
Catheter drainage;
Infectious effusion;
Malignant tumor;
Antibiotics
- From:
Chinese Journal of Oncology
2019;41(10):771-774
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the efficiency of saline irrigation, antibiotics irrigation and high-concentration antibiotics perfusion with tube drainage in the treatment of infectious effusion.
Methods:Clinical and sonographic features of abdominal and pelvic infectious effusion of 64 patients with malignant tumor collected from September 2013 to September 2017 were retrospectively analyzed. The changes of effusion size and temperature, catheterization time were evaluated in saline irrigation group and antibiotics irrigation group. The catheterization time was compared between antibiotics irrigation group and high-concentration antibiotics perfusion group.
Results:The effective rates of the saline irrigation group and the antibiotics irrigation group were 68.6% and 86.8%, respectively, and the times of catheterization were 11.9±8.4 days and 7.8±4.8 days, respectively, with significantly statistical difference (both P<0.05). However, the effective rates of the antibiotics irrigation group and the high concentration antibiotic perfusion group were 86.8% and 100.0%, respectively (P=0.067), while the times of catheterization were 7.8±4.8 days and 3.6±3.1 days, respectively (P<0.001).
Conclusion:The antibiotic irrigation with tube drainage, especially the high concentration perfusion is more effective than saline in the treatment of abdominal and pelvic infection effusion.
