异物性咽后脓肿临床分析  

Analysis of foreign body induced retropharyngeal abscess

作　　者：上官翰京[1] 高兴强[1] 陈乌娜[1] 骆献阳[1] 

机构地区：[1]厦门大学附属第一医院耳鼻咽喉头颈外科,福建厦门361003

出　　处：《山东大学耳鼻喉眼学报》2014年第1期65-66,共2页Journal of Otolaryngology and Ophthalmology of Shandong University

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。Objective To investigate the clinical characteristics of foreign body induced retropharyngeal abscess. Meth- ods Fourteen cases of foreign body induced retropharyngeal abscess were analyzed retrospectively. The clinical fea- tures 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.

关 键 词：咽后间隙 脓肿 异物 体层摄影术 X线计算机 颈侧切开 

分 类 号：R766.15[医药卫生—耳鼻咽喉科]