颈深筋膜间隙感染122例临床分析.docVIP

精品论文 参考文献 颈深筋膜间隙感染122例临床分析 杨宁 刘斌 彭建辉 王政 　　(郴州市第一人民医院耳鼻咽喉头颈外科 湖南郴州 423000) 　　【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。 　　【关键词】颈 感染 扁桃体周围脓肿 引流 　　【中图分类号】R63 【文献标识码】A 【文章编号】1672-5085（2014）21-0032-02 　　 　　Clinical analysis of 122 cases with deep cervical fascial space infection 　　Yang Ning, Liu Bin, Peng Jianhui, et al. 　　(Department of Otolaryngology Head and Neck Surgery,the First Peoples Hospital of Chenzhou, Chenzhou Hunan 423000 China) 　　【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. 　　【Key words】Neck Infection Peritonsillar abscess Drainage 　　颈深部感染是指身体深部感染源, 如牙、咽、扁桃体、涎腺、食管、呼吸道等处的炎症, 感染颈深筋膜浅层以下的组织, 如筋膜、淋巴结等引起的脓肿形成或较广泛蜂窝织炎的总称［1］。扁桃体周围间隙、咽后