鼻中隔脓肿病人9例临床分析
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摘要
目的探讨鼻中隔脓肿的治疗方法及预后。方法鼻中隔脓肿病人9例,均给予鼻中隔切开引流术及足量抗生素控制感染治疗。结果 9例病人均治愈,其中4例病人出现并发症,1例鼻中隔穿孔,3例鞍鼻畸形。结论鼻中隔脓肿预后较差,诊断明确后应尽快手术,并应用足量抗生素。
Objective To investigate the treatment and prognosis of nasal septal abscess. Methods Nine patients with nasal septal abscess were enrolled and treated with nasal septal incision and drainage combined with adequate antibiotics to control infection. Results All the patients were cured.Four of them experienced complications,among whom one had perforation of the nasal septum and 3 had saddle nose deformity. Conclusion Nasal septal abscess often has a poor prognosis.Surgery should be performed as soon as a clear diagnosis is made,with adequate antibiotics to prevent infection.
Objective To investigate the treatment and prognosis of nasal septal abscess. Methods Nine patients with nasal septal abscess were enrolled and treated with nasal septal incision and drainage combined with adequate antibiotics to control infection. Results All the patients were cured.Four of them experienced complications,among whom one had perforation of the nasal septum and 3 had saddle nose deformity. Conclusion Nasal septal abscess often has a poor prognosis.Surgery should be performed as soon as a clear diagnosis is made,with adequate antibiotics to prevent infection.
引文
[1]SAYIN I,YAZICI Z M,BOZKURT E,et al.Nasal septal hematoma and abscess in children[J].Journal of Craniofacial Surgery,2011,22(6):E17-E19.
[2]舒畅,吴庆莲,吴雯.鼻中隔脓肿13例临床分析[J].中国伤残学,2013,21(4):212-213.
[3]何学斌,李文平,乔英.莎车县小儿鼻中隔脓肿7例临床分析[J].中国耳鼻咽喉颅底外科杂志,2016,22(6):504-505.
[4]DINESH R,AVATAR S,HARON A.Nasal septal abscess with uncontrolled diabetes mellitus[J].The Medical Journal of Malaysia,2011,66(3):253-254.
[5]刘艳,丁锋,李波蓬,等.鼻中隔矫正术后迟发性血肿形成的原因分析[J].中国耳鼻咽喉头颈外科,2016,23(11):644-645.
[6]夏军,郭会义.微波治疗鼻出血术后并发鼻中隔脓肿临床分析[J].临床耳鼻咽喉头颈外科杂志,2010,24(20):951.
[7]ALSHAIKH N,S L O.Nasal septal abscess in children:from diagnosis tomanagement and prevention[J].International Journal of Pediatric Otorhinolaryngology,2011,75(6):737-744.
[8]范森.双极电凝后迟发鼻中隔脓肿致鞍鼻2例[J].中国耳鼻咽喉头颈外科,2018,25(4):224.
[9]GEORGE A,SMITH W K,KUMAR S,et al.Posterior nasal septal abscess in a healthy adult patient[J].Journal of Laryngology and Otology,2008,122(12):1386-1388.
[10]HYO Y,FUKUSHIMA H,HARADA T, et al.Nasal septal abscess caused by anaerobic bacteria of oral flora[J].Auris Nasus Larynx,2019,46(1):147-150.
[11]黄选兆,汪吉宝.实用耳鼻咽喉头颈外科学[M].北京:人民卫生出版社,2008:145-146.
[12]SHAH S B,MURR A H,LEE K C.Nontraumatic nasal septal abscesses in the immunocompromised:etiology,recognition,treatment,and sequelae[J].American Journal of Rhinology,2000,14(1):39-43.
[13]DEBNAM J M,GILLENWATER A M,GINSBERG L E.Nasal septal abscess inPatients with immunosuppression[J].AJNR.American Journal of Neuroradiology,2007,28(10):1878-1879.
[14]DISPENZA C,SARANITI C,DISPENZA F,et al.Management of nasal septal abscess in childhood:our experience[J].International Journal of Pediatric Otorhinolaryngology,2004,68(11):1417-1421.
[15]KISHIMOTO I,SHINOHARA S,UEDA T,et al.Orbital apex syndrome secondary to a fungal nasal septal abscess caused by Scedosporium apiospermum in a patient with uncontrolled diabetes:a case report[J].BMC Infectious Diseases,2017,17(1):649-653.
[16]PATEL R,ORLANDI R R.Fungal septal abscess complicating maxillary sinus fungus balls in an immunocompetent[J].Allergy&Rhinology(Providence,R.I.),2015,6(3):184-187.
[17]CAI Y,SAQI A,HADDAD J J.Spontaneous nasal septal abscess presenting as a soft tissue mass in a child[J].The Journal of Emergency Medicine,2017,52(4):129-132.
[18]谢建,童冰颖,郭大静,等.鼻中隔脓肿的临床特点及CT诊断价值[J].实用放射学杂志,2008,24(2):279-280.
[19]唐天琪,庞久绅,刘琳.鼻中隔及鼻中隔疾病与面中部发育的关系[J].中国眼耳鼻喉科杂志,2017,17(4):295-297.
[20]DEBNAM J M,GILLENWATER A M,GINSBERG L E.Nasal septal abscess in patients with inmunosuppression[J].American Journal of Neuroradiology,2007,28(10):1878-1879.
[21]KAISER M L,KARAM A M,SEPEHR A,et al.Cartilage regeneration in the rabbit nasal septum[J].The Laryngoscope,2006,116(10):5-10.
[2]舒畅,吴庆莲,吴雯.鼻中隔脓肿13例临床分析[J].中国伤残学,2013,21(4):212-213.
[3]何学斌,李文平,乔英.莎车县小儿鼻中隔脓肿7例临床分析[J].中国耳鼻咽喉颅底外科杂志,2016,22(6):504-505.
[4]DINESH R,AVATAR S,HARON A.Nasal septal abscess with uncontrolled diabetes mellitus[J].The Medical Journal of Malaysia,2011,66(3):253-254.
[5]刘艳,丁锋,李波蓬,等.鼻中隔矫正术后迟发性血肿形成的原因分析[J].中国耳鼻咽喉头颈外科,2016,23(11):644-645.
[6]夏军,郭会义.微波治疗鼻出血术后并发鼻中隔脓肿临床分析[J].临床耳鼻咽喉头颈外科杂志,2010,24(20):951.
[7]ALSHAIKH N,S L O.Nasal septal abscess in children:from diagnosis tomanagement and prevention[J].International Journal of Pediatric Otorhinolaryngology,2011,75(6):737-744.
[8]范森.双极电凝后迟发鼻中隔脓肿致鞍鼻2例[J].中国耳鼻咽喉头颈外科,2018,25(4):224.
[9]GEORGE A,SMITH W K,KUMAR S,et al.Posterior nasal septal abscess in a healthy adult patient[J].Journal of Laryngology and Otology,2008,122(12):1386-1388.
[10]HYO Y,FUKUSHIMA H,HARADA T, et al.Nasal septal abscess caused by anaerobic bacteria of oral flora[J].Auris Nasus Larynx,2019,46(1):147-150.
[11]黄选兆,汪吉宝.实用耳鼻咽喉头颈外科学[M].北京:人民卫生出版社,2008:145-146.
[12]SHAH S B,MURR A H,LEE K C.Nontraumatic nasal septal abscesses in the immunocompromised:etiology,recognition,treatment,and sequelae[J].American Journal of Rhinology,2000,14(1):39-43.
[13]DEBNAM J M,GILLENWATER A M,GINSBERG L E.Nasal septal abscess inPatients with immunosuppression[J].AJNR.American Journal of Neuroradiology,2007,28(10):1878-1879.
[14]DISPENZA C,SARANITI C,DISPENZA F,et al.Management of nasal septal abscess in childhood:our experience[J].International Journal of Pediatric Otorhinolaryngology,2004,68(11):1417-1421.
[15]KISHIMOTO I,SHINOHARA S,UEDA T,et al.Orbital apex syndrome secondary to a fungal nasal septal abscess caused by Scedosporium apiospermum in a patient with uncontrolled diabetes:a case report[J].BMC Infectious Diseases,2017,17(1):649-653.
[16]PATEL R,ORLANDI R R.Fungal septal abscess complicating maxillary sinus fungus balls in an immunocompetent[J].Allergy&Rhinology(Providence,R.I.),2015,6(3):184-187.
[17]CAI Y,SAQI A,HADDAD J J.Spontaneous nasal septal abscess presenting as a soft tissue mass in a child[J].The Journal of Emergency Medicine,2017,52(4):129-132.
[18]谢建,童冰颖,郭大静,等.鼻中隔脓肿的临床特点及CT诊断价值[J].实用放射学杂志,2008,24(2):279-280.
[19]唐天琪,庞久绅,刘琳.鼻中隔及鼻中隔疾病与面中部发育的关系[J].中国眼耳鼻喉科杂志,2017,17(4):295-297.
[20]DEBNAM J M,GILLENWATER A M,GINSBERG L E.Nasal septal abscess in patients with inmunosuppression[J].American Journal of Neuroradiology,2007,28(10):1878-1879.
[21]KAISER M L,KARAM A M,SEPEHR A,et al.Cartilage regeneration in the rabbit nasal septum[J].The Laryngoscope,2006,116(10):5-10.