Abstract：
UNASSIGNED: Initial findings of hand infections warrant a thorough treatment strategy depending on the progress of the infection. The decision for surgical treatment can be unclear. Searching to improve the quality of diagnostics, we reviewed the literature regarding the use of point-of-care ultrasound (PCUS) in hand infections and analyzed patients undergoing decision-making with PCUS. We searched PubMed, Scopus, Cochrane Register, and Google Scholar for the use of PCUS in therapy planning in infections of the hand. In addition, we screened our patients from July 1, 2020, to November 30, 2020, to validate the potential benefit of ultrasound examination in suspected hand infections. We evaluated initial clinical examinations versus blinded sonographic assessments in the context of correct decision to proceed with surgery or conservative treatment. Two thousand forty-eight studies within the topic were identified, but only 9 studies were found eligible to be included with a total of 88 patients. The studies illustrate that ultrasound can be performed on all patients, including children and pregnant women, and can be performed in a timely manner. In our retrospective analysis of 20 patients with suspected hand infection, the clinical and ultrasound assessment led to surgery in 13 cases. Of those 13 patients, 7 revealed intraoperative pus. By retrospective assessment of solely the ultrasound images, surgery would have been indicated in 9 cases, including all 7 cases with intraoperative pus. Clinical examination and ultrasound can help in detecting infections of the hand. Ultrasound examination, however, seems to yield a lower false-positive rate than clinical examination. Ultrasound could be a valuable addition to clinical examination.
摘要：
■手部感染的初步发现需要根据感染的进展采取彻底的治疗策略。手术治疗的决定可能不清楚。搜索以提高诊断质量，我们回顾了有关在手感染中使用即时超声(PCUS)的文献,并分析了接受PCUS决策的患者.我们搜索了PubMed,Scopus,Cochrane注册,和GoogleScholar在手部感染的治疗计划中使用PCUS。此外,我们从2020年7月1日至2020年11月30日对患者进行了筛查,以验证超声检查对疑似手部感染的潜在益处.在正确决定进行手术或保守治疗的情况下，我们评估了初始临床检查与盲法超声检查。确定了该主题内的两千四十八项研究，但只有9项研究符合纳入标准,共88例患者.研究表明，超声可以对所有患者进行，包括儿童和孕妇,并且可以及时执行。在我们对20例疑似手部感染患者的回顾性分析中，临床和超声评估导致13例手术。在这13名患者中，7显示术中脓液。通过仅对超声图像的回顾性评估，9例患者应接受手术治疗，包括所有7例术中脓液。临床检查和超声检查可以帮助检测手的感染。超声检查,然而,似乎产生比临床检查更低的假阳性率。超声可以是临床检查的有价值的补充。
