摘要
目的：探讨颈深筋膜间隙感染患者的临床表现、诊断及治疗。方法：回顾性分析2001年1月～2013年6月收治的颈深筋膜间隙感染122例患者的临床资料。结果：在咽旁间隙感染患者中，2例患者取鼻咽部组织病检，确诊为鼻咽癌；1例转口腔科患者确诊为舌癌；2例因既往有鳃裂囊肿手术病史，未手术治疗。其他患者通过切开排脓引流，应用抗生素等治疗均治愈。颈段食道周围脓肿患者中，3例患者出现声音嘶哑，2例患者半年内恢复，1例未恢复。结论：颈深筋膜间隙感染一经确诊脓肿形成，应及时手术引流，合理应用抗生素，控制基础疾病及严重并发症。
Abstract
Objective:To investigate the clinical feature, diagnosis and treatment of patients with deep cervical fascial space infection.Methods:A respective review was conducted in 122 cases who were diagnosed as having deep cervical fascial space infection in this hospital from Jan.2001 to Jun.2013.Results:In the parapharyngeal space infection cases, 2 cases with nasopharyngeal biopsy were diagnosed with nasopharyngeal carcinoma and 1 cases transferred to the Department of Stomatology was diagnosed with tongue cancer. 2 cases of parapharyngeal space infection because of previous history of branchial cleft cyst operation, were without operation. Other patients were cured through the incision drainage and antibiotic treatment. 3 cases had postoperative hoarseness in esophageal abscess cases,among them 2 cases were completely recoered within six months and 1 case did not recover.Conclusion:Once deep cervical fascial space infection is diagnosed as having abscess , should be got early surgical drainage, appropriate use of antibiotics, and control of the underlying disease and severe complications.
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