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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。
Objective To investigate the etiology of acute tonsillitis-induced thyroid abscess and then neck abscess and to explore the possible ways of its development and the pros and cons of its treatment. Methods The neck was opened as indicated by the CT, opening all neck gaps and flushing thoroughly. Results After the neck side incision, the neck gap fully open drainage, the patient’s body temperature decreased day by day, 10 days returned to normal. Conclusions B-ultrasound and enhanced CT are effective methods to distinguish between cervical cyst and abscess. Puncture pathological diagnosis is the gold standard for differential diagnosis. Oral, maxillofacial infection while thyroid cyst-like nodules should be wary of abscess formation. Neck side incision, full flush drainage is an effective means of treatment of parapharyngeal space abscess.