急性扁桃体炎致甲状腺脓肿、咽旁间隙脓肿一例并文献复习

目的 探讨急性扁桃体炎引起甲状腺脓肿继而导致颈部间隙脓肿的病因,研究其感染可能的发展途径及治疗手段的利弊。 方法 依照CT所示进行颈侧切开、开放所有颈部间隙,充分冲洗引流。 结果 经过颈侧切开,颈部间隙充分开放引流后,患者体温逐日下降,10 d恢复正常。 结论 B超、增强CT是鉴别颈部囊肿与脓肿有效手段,穿刺病理诊断是鉴别的金标准。口腔、颌面部感染同时出现甲状腺囊肿样结节要警惕脓肿形成。颈侧切开、充分冲洗引流是治疗咽旁间隙脓肿的有效手段。

Diagnosis and treatment of thyroid abscess and parapharyngeal space abscess caused by acute tonsillitis:a case ;report and literature review

Objective To analyze the etiology,route of infection,and treatment of a thyroid abscess caused by acute tonsillitis,which finally resulted in parapharyngeal space infection.Methods According to CT results,the site was in-cised laterally to reveal the neck space thoroughly.After that,the abscess was drained and rinsed carefully.Results The patients temperature lowered day by day,and the patient recovered after 10 days.Conclusion B ultrasound com-bined with enhanced CT is an effective means for the identification of neck cyst and abscess.Puncture pathological ex-amination is the gold standard for diagnosis.If oral or maxillofacial infections are concurrent with thyroid cyst,special attention should be paid to abscess formation.Lateral neck incision,adequate irrigation and drainage are effective means to treat pharyngeal space abscess.