查詢結果分析
來源資料
相關文獻
- Computed Tomography Diagnosis of Deep Space Infections of the Head and Neck
- Prostatic Abscess in Southern Taiwan: Another Invasive Infection Caused Predominantly by Klebsiella Pneumoniae
- Pulmonary Nocardiosis with Brain Abscess--A Case Report and Literature Review
- Melioidosis Presenting as Splenic Abscesses and Suspected Septic Pulmonary Embolism--A Case Report
- 腦部膿瘍
- Pelvic Abscess after Ultrasound-Guided Aspiration of Endometrioma: A Case Report
- A CT-Guided Stereotactic Management of Brain Abscess
- Pediatric Rhinosinusitis with Intraorbital Subperiosteal Abscess: A Case Report
- Psoas Abscess: A 10 Year Review
- 奴卡氏菌感染症(Nocardiosis)
頁籤選單縮合
題 名 | Computed Tomography Diagnosis of Deep Space Infections of the Head and Neck=電腦斷層攝影診斷頭頸深部感染症之探討 |
---|---|
作 者 | 張永強; 李瑤華; 徐劍耀; | 書刊名 | 慈濟醫學 |
卷 期 | 11:1 1999.03[民88.03] |
頁 次 | 頁33-40 |
分類號 | 416.14 |
關鍵詞 | 頸部電腦斷層攝影; 頭部電腦斷層攝影; 膿瘍; 感染症; 深部感染症; Neck computed tomography; Head computed tomography; Abscess; Infection; Deep space infection; |
語 文 | 英文(English) |
中文摘要 | 早期偵測頭頸深部感染症( DSIHN )能改善其致命的併發症。本研究及探討電腦 斷層攝影( CT )在診斷 DSIHN 之敏感度、 專一性及準確性。 分析 36 位病患(男性 19 人及女性 17 人), 年齡由 21 個月至 81 歲共 37 次 DSIHN 之臨床記錄和其電腦斷層攝 影發現, 並回溯性比較其中 31 位病患之 32 次 DSIHN 之臨床( n=15 )及外科手術( n=17 )之發現與其 CT 確有 DSIHN 導致膿瘍之發現,其餘 5 位追蹤。 DSIHN 之病因有不 明原因( n=13 )、咽喉炎( n=4 )、 扁桃腺炎( n=4 )、牙周炎( n=4 )、口腔潰瘍 ( n=1 )、急性乳突炎( n=1 )、急性甲狀腺炎( n=1 )、拔牙( n=1 )、上呼吸道感 染( n=1 )、腮腺炎( n=1 )和糖尿病之併發症( n=5 )。 感染之侵犯範圍可分為舌骨 上( n=19 )、舌骨下( n=1 )及穿越舌骨上下( n=17 )等三種。 其併發症包括頸部淋 巴炎( n=17 )、呼吸道之侵犯( n=16 )、膿瘍之形成( n=15 )、頸靜脈栓塞性發炎( n=2 )及上中膈炎( n=1 )。 CT 在確認形成膿瘍之敏感度、 專一性及診斷準確性分別為 93 %、94 %及 94 %。頭頸深部膿腫、嚴重之呼吸道侵犯及頸脈炎必須以外科手術治療。 我們的發現顯示 CT 在評估 DSIHN 的侵犯範圍、 併發症及協助決定施行適當的治療扮演重 要的角色。 |
英文摘要 | Early detection of deep space infections of the head and neck (DSIHN) improves the prognosis of life-threatening complications. We investigated the sensitivity, secificity, and diagnostic accuracy of computed tomography in the diagnosis of DSIHN. Clinical information and computed tomography (CT) findings of 36 patients (19 males and 17 females; 21 months to 81 years o age) with 37 episodes of DSIHN were analyzed. We retrospectively correlated the clinical (n=15) and surgical (n=17) findings of 32 episodes in 31 patients with CT findings for identification of DSIHN-related abscess. The other 5 episodes in 5 patients were not included because of loss of follow-up. The causes of DSIHN were undetermined etiology (n=13), pharyngitis (n=4) , tonsillitis (n=4), periodontitis (n=4) , oral ulcers (n=2), acute mastoiditis (n=1) , acute thyroiditis (n=1), dental extraction (n=1), upper respiratory tract infection (n=1), mumps (n=1) and underlying diabetes mellitus (n=5). Regional involvement was categorized into suprahyoid (n=9), infrahyoid (n=1) and transhyoid (n=17) types. Complications included cervical lymphadenitis (n=17), airway encroachment (n=16), abscess formation (n=15), thrombophlebitis of the internal jugular vein (n=2) and superior mediastinitis (n=1). THe sensitivity, specificity and diagnostic accuracy of CT in the identification of abscess were 93%, 94%, and 94%, respectively. Deep cervical abscess, severe airway encroachment and jugular vein thrombophlebitis demanded surgical intervention. Our findings indicate that CT plays an important role in the evaluation of DSIHN disase extent and complications, and helps determine the appropriate treatment. |
本系統中英文摘要資訊取自各篇刊載內容。