腰大肌脓肿的诊断与治疗研究进展  

Progress in diagnosis and treatment of psoas abscess

作　　者：张昊悦 汤正好[1] Zhang Haoyue;Tang Zhenghao(Department of Infectious Diseases,Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200233,China)

机构地区：[1]上海交通大学医学院附属第六人民医院感染病科,上海200233

出　　处：《中华临床医师杂志（电子版）》2024年第3期299-302,共4页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：腰大肌脓肿是一类发生在腰大肌内的局部感染性疾病,临床表现隐匿且不典型,早期诊断困难,临床中误诊率及漏诊率较高。细菌感染是其主要致病原因,以金黄色葡萄球菌和结核分枝杆菌感染常见。常见临床表现为发热、跛行和背痛,伴或不伴其他非特异性表现。临床诊断主要依靠病原学及影像学检查,药物治疗及穿刺引流是治疗本病的关键。国内外对腰大肌脓肿的报道甚少,本文着重阐述腰大肌脓肿诊断和治疗的研究现状和进展。Psoas abscess is a class of partial infectious diseases occurring within the psoas major muscle,with insidious and atypical clinical manifestations.It is difficult to diagnose in the early stage,and the misdiagnosis and missed diagnosis rates are high in the clinic.Bacterial infection is the main pathogenic cause,with Staphylococcus aureus and Mycobacterium tuberculosis being the most common pathogens.Clinical manifestations are fever,lameness,and back pain,with or without other non-specific manifestations.Diagnosis is mainly based on pathogenetic and radiological examinations,while pharmacological treatment and puncture and drainage are the keys to treating this disease.There are few studies on psoas abscess both domestically and internationally.This paper reviews the current state and progress in the diagnosis and treatment of psoas abscess.

关 键 词：腰大肌脓肿 细菌 感染 

分 类 号：R681.5[医药卫生—骨科学]