超声下光动力疗法联合窦道切开引流治疗脓性汗腺炎的效果

doi:10.7517/issn.1674-0475.220512

摘要/Abstract

摘要： 本文探讨超声下光动力疗法联合窦道切开引流对化脓性汗腺炎的效果。选取80例化脓性汗腺炎患者随机分为试验组和对照组，每组40例。试验组行超声引导下光动力疗法联合窦道切开引流治疗，对照组行单纯窦道切开引流治疗，观察患者治疗前后的视觉模拟量表（VAS）评分、外周血白细胞（WBC）、超敏C反应蛋白（hs-CRP）变化，对患者的创面愈合情况及肿胀度进行评分，分析两组疗效。结果显示，试验组患者在术后3 d、术后1周时的VAS评分均低于对照组（P<0.05）；试验组术后3 d的WBC，术后3 d及术后1周的血清hs-CRP水平均低于对照组（P<0.05）；试验组术后3 d、术后1周的创面愈合评分、肿胀度评分均低于对照组（P<0.05）；试验组患者总体治疗效果优于对照组（P<0.05）。超声下光动力疗法联合窦道切开引流治疗化脓性汗腺炎能显著减轻患者术后疼痛感受，促进创面早期愈合。

关键词: 超声引导, 光动力疗法, 窦道切开引流, 化脓性汗腺炎

Abstract: This paper investigated the effect of ultrasonic photodynamic therapy combined with sinus incision and drainage on purulent sweat adenitis. Selected 80 patients with purulent sweat adenitis randomly divided into test group and control group, with 40 cases in each group. The test group underwent ultrasound-guided photodynamic therapy and drainage, and the control group underwent simple sinus incision and drainage treatment. Observed the patients' visual analogue scale (VAS) scale, peripheral blood white blood cell (WBC), hypersensitive C response protein(hs-CRP) before and after treatment. Scored the patients' wound healing and swelling degree, and then analyzed the efficacy of the two groups. The results showed that the VAS score of test group was lower than that of control group at 3 d and 1 week after operation (P<0.05). In test group, WBC at 3 d and serum hs-CRP at 3 d and 1 week after operation were lower than those in control group (P<0.05). The wound healing and swelling scores at 3 d and 1 week after operation were lower than that in control group (P<0.05). The overall treatment effect of patients in test group was better than those in control group. Ultrasonic photodynamic therapy combined with sinus incision and drainage for suppurative sweat adenitis can significantly reduce the postoperative pain feeling and promote the early healing of the wound.

Key words: ultrasound guidance, photodynamic therapy, sinus incision and drainage, hidradenitis suppurativa

易勤, 陈红艳, 刘珈言, 梅蓉, 杨礼凤, 韩成龙, 李二龙, 赵文彬. 超声下光动力疗法联合窦道切开引流治疗脓性汗腺炎的效果[J]. 影像科学与光化学, 2022, 40(5): 1289-1293.

YI Qin, CHEN Hongyan, LIU Jiayan, MEI Rong, YANG Lifeng, HAN Chenglong, LI Erlong, ZHAO Wenbin. Effect of Photodynamic Therapy under Ultrasound Combined with Sinus Incision and Drainage in the Treatment of Hidradenitis Suppurativa[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(5): 1289-1293.

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