摘要
目的探讨手部深部慢性特殊感染的发病机制、治疗和预后。方法复习15例手部深部慢性特殊感染病史的发病特点、特征和临床治疗结果。结果15例患者经口服左氧氟沙星及阿奇霉素3个月后,痊愈7例,8例行手术治疗。治疗后手部功能TAM系统评定优12例,良2例,可1例。结论联合应用喹诺酮类及大环内酯类药物化疗对大多数手部深部组织慢性特殊感染患者有效,可避免反复清创术导致的手术创伤。
Objective To explore the pathogenesis,treatment and prognosis of chronic deep-seated special hand infections. Methods The histology characteristics,clinical presentation and treatment outcome were reviewed in 15 cases of chronic deep-seated special hand infections. Results Fifteen patients were followed up after a therapy of lavo-ofloxacin and azithromycin for 3 months,among which 7 cases were healed,and 8 underwent surgeries.TAM function assessment criteria was done after the operation with excellent in 12,good in 2,and fair in 1 case. Conclusions Satisfactory treatment outcome can be obtained after using fluoroquinolones and macrolide in most chronic deep-seated special hand infections.Anti-mycobacterium treatment can also avoid surgical trauma caused by repeatedly debridements.
出处
《复旦学报（医学版）》
CAS
CSCD
北大核心
2010年第4期472-474,共3页
Hehai University Journal of Medical Sciences
关键词
手
慢性特殊感染
左氧氟沙星
阿奇霉素
hand
chronic special infection
lavo-ofloxacin
azithromycin
