山东大学耳鼻喉眼学报 ›› 2014, Vol. 28 ›› Issue (1): 65-66.doi: 10.6040/j.issn.1673-3770.0.2013.156

• 论著 • 上一篇    下一篇

异物性咽后脓肿临床分析

上官翰京,高兴强,陈乌娜,骆献阳       

  1. 厦门大学附属第一医院耳鼻咽喉头颈外科, 福建 厦门 361003
  • 收稿日期:2013-05-21 出版日期:2014-02-16 发布日期:2014-02-16
  • 通讯作者: 骆献阳,主任医师。 E-mail:Lxy701@126.com
  • 作者简介:上官翰京。 E-mail:shangghj@163.com

Analysis of foreign body induced retropharyngeal abscess

SHANGGUAN Han-jing, GAO Xing-qiang, CHEN Wu-na, LUO Xian-yang   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, First Affiliated Hospital of Xiamen University, Xiamen 361003, Fujian, China
  • Received:2013-05-21 Online:2014-02-16 Published:2014-02-16

摘要:

目的  探讨异物性咽后脓肿临床特点,进一步提高诊治水平。方法  回顾性分析异物性咽后脓肿14例临床资料,对比、归纳其临床特点。结果  总结14例患者共性为:①发病年龄以中年人为最多;②CT清楚显示所有患者病变部位及累及范围;③异物取出及脓肿切开引流是治疗的关键。结论  中年人是异物性咽后脓肿的高发群体;CT能准确评价异物性咽后脓肿,应作为首选影像检查方法;颈侧切开途径是治疗异物性咽后脓肿的主要方式。

关键词: X线计算机;颈侧切开, 咽后间隙;脓肿;异物;体层摄影术

Abstract:

Objective   To investigate  the clinical characteristics of  foreign body induced retropharyngeal  abscess. Methods   Fourteen cases  of  foreign body induced  retropharyngeal  abscess  were  analyzed  retrospectively.  The  clinical  features were compared and summarized.  Results   ① The oneset age was  mostly  middle-aged; ② The sites and  ranges of  the   lesions  could be clearly  displayed  by  CT. ③ The key of treatment was  to  remove the  foreign  body  and  drain the abscess. Conclusion   The  Middle-aged  is  a  high incidence  group  for  foreign body induced retropharyngeal abscess. CT should  be  regarded  as the first choice to evaluate the lesion. The  approach  of  lateral neck incision  is the  main method to treat foreign body induced retropharyngeal abscess.

Key words: Abscess, Tomography, X-ray computed, Foreign body, Lateral neck incision, Retropharyngeal space

中图分类号: 

  • R766.15
[1] 柯朝阳,周敬淳,周 舟,刘 明 . 小儿急性咽后脓肿的诊断与治疗[J]. 山东大学耳鼻喉眼学报, 2008, 22(1): 94-96 .
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