摘要
目的：总结儿童梨状窝瘘致急性化脓性甲状腺炎的诊治方法，为临床医生提供更多的经验。方法：回顾性分析郑州大学第一附属医院2011至2013年19例儿童梨状窝瘘致急性化脓性甲状腺炎患者资料，所有患者均表现为左侧复发性急性化脓性甲状腺炎，均有切开引流史。人院后，急性感染期予以脓肿切开引流，并应用敏感抗生素，炎症反应消退后，行颈外径路瘘管根治性切除术。结果：术后1例患者出现暂时性声音嘶哑，1周后完全恢复。术后随访6—30个月，所有患者未见复发。结论：一旦确诊由儿童梨状窝瘘导致的急性化脓性甲状腺炎，除应用敏感抗生素外，更重要的是彻底切除瘘管。
Objective： To summarize the experiences of diagnosis and treatment of acute suppura- tive thyroiditis caused by pyriform sinus fistula in children. Methods： The clinical data of 19 children patients with acute suppurative thyroiditis caused by pyriform sinus fistula treated in the First Affiliated Hospital of Zhengzhou University from 2011 to 2013 were analyzed retrospectively. All patients suffered from the left recurrent acute suppurative thyroiditis and had undergone incision and drainage. All the patients received abscess incision and drainage in acute infection period and definitive surgery of extra-neck incision after inflammation subsided. Results： After the treatment, 1 case was found transient postoperative hoarseness, fully restored after 1 week. No recurrence was found in all cases in follow-up of 6 to 30 months. Conclusion： Once the acute suppurative thyroiditis caused by pyriform sinus fistula in children was diagnosed definitely, complete removal of the fistula was more important in addition to the application of sensitive antibiotic.
出处
《河南医学研究》
CAS
2014年第4期14-16,共3页
Henan Medical Research
关键词
儿童
梨状窝瘘
急性化脓性甲状腺炎
children
pyriform sinus fistula
acute suppurative thyroiditis
