颈部蜂窝组织炎的微创治疗及临床分析

发布时间：2019-02-15 13:20

【摘要】：目的：分析NC的临床特征、早期诊断、治疗手段，促进相关的卫生宣传，加强保健意识，加强预防，减少病人住院天数，减少发病率，提高疾病治愈率。方法：收集本院2012年9月-2015年3月NC患者21例，整理临床数据，采取回顾性分析的统计学方式研究、分析NC诊断与治疗，对比其微创治疗方式与传统治疗方式。结果：21例NC患者其中男11例，女性患者10例，年龄20～74岁，，好发于46-60岁。最少的住院天数为2天，最多的住院天数为50天；平均住院天数为10.2天。纳入标准（至少具备其中1项临床症状）：颈部与颜面部异常肿胀，呼吸窘迫，吞咽困难并有疼痛感，发热。总共收集NC样本21例，其中5例（23.8%）是由于牙源性病变诱发感染；4例（19.0%）是由于急性扁桃体炎；6例（28.5%）是由于头颈部特异性感染，其他头颈部局部非特异性感染性疾病引起者6例（占28.5%）。高血压患者为5例，糖尿病患者为10例，高血压、糖尿病患者为3例。经超声引导下多点穿刺引流术等综合治疗后全部治愈。结论：NC的微创多点超声下穿刺引流的治疗效果非常好，减少病人住院天数，减轻病人的痛苦，有效的解决了需要切开引流，每天换药冲洗的给患者带来的痛苦。一般留置两根或多根引流管，形成对流的效果，有效的保证了引流的通畅，可以减少患者的换药及更换引流条的痛苦，缩短了病程，解决了切开后的切口愈合问题，减少了切开后的较重感染的可能，并且在经济方面减少了患者的住院费用，减轻了患者切开的痛苦，减小了手术切开的风险。
[Abstract]:Objective: to analyze the clinical characteristics, early diagnosis and treatment of NC, promote related health publicity, strengthen health care awareness, strengthen prevention, reduce patient hospitalization days, reduce morbidity, and improve the cure rate of the disease. Methods: 21 patients with NC were collected from September 2012 to March 2015. The clinical data were collected. The diagnosis and treatment of NC were analyzed by retrospective statistical analysis. The minimally invasive treatment and the traditional treatment were compared. Results: 21 patients with NC were 11 males and 10 females, aged 20 to 74 years. The minimum hospitalization days were 2 days, the maximum hospitalization days were 50 days, and the average hospitalization days were 10.2 days. Inclusion criteria (with at least one clinical symptom): abnormal swelling of neck and face, respiratory distress, dysphagia and pain, fever. A total of 21 cases of NC were collected, of which 5 cases (23.8%) were caused by odontogenic diseases, 4 cases (19.0%) were caused by acute tonsillitis, 4 cases (19.0%) were caused by acute tonsillitis. 6 cases (28.5%) were caused by specific infection of head and neck, 6 cases (28.5%) were caused by non-specific infectious diseases in other parts of head and neck. There were 5 cases of hypertension, 10 cases of diabetes, 3 cases of hypertension and 3 cases of diabetes. All the patients were cured by ultrasound-guided multi-point puncture and drainage. Conclusion: the treatment of NC with minimally invasive multi-point ultrasound puncture and drainage is very effective. It can reduce the hospitalization days, alleviate the pain of patients, and effectively solve the pain caused by the need of incision and drainage and daily change of dressing and washing. Generally, two or more drainage tubes are placed to form convection effects, which can effectively ensure the smooth drainage, can reduce the pain of changing medicine and replacing drainage strips, shorten the course of disease, and solve the problem of wound healing after incision. It reduces the risk of severe infection after incision, and reduces the cost of hospitalization, the pain of incision, and the risk of surgical incision.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R653

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