首页|颈深筋膜间隙感染122例临床分析

颈深筋膜间隙感染122例临床分析

Clinical analysis of 122 cases with deep cervical fascial space infection

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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。
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.

NeckInfectionPeritonsilar abscessDrainage

杨宁、刘斌、彭建辉、王政

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郴州市第一人民医院耳鼻咽喉头颈外科 湖南郴州 423000

感染 扁桃体周围脓肿 引流

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(21)
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