儿童的副喉和逆喉:八个病例的报告
Matic Glavan1, Lara Dreu2, Boštjan Lanišnik1
1Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Maribor, Ljubljanska Ulica 5, 2000 Maribor, Slovenia.
Children (Basel, Switzerland)
|May 1, 2025
概括
儿童的深部空间感染 (DNSIs),特别是副喉和逆喉,需要及时诊断和量身定制的外科治疗. 图像,特别是MRI,对于定位至关重要,微创,图像引导的技术改善了手术精度和患者的结果.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 头部和部手术 头部和部手术
- 传染性疾病 传染性疾病
背景情况:
- 儿童的深部空间感染 (DNSIs),特别是副喉和逆喉,与包括呼吸道阻塞在内的重大风险有关.
- 儿科DNSI的管理与成人不同,需要多学科的方法.
研究的目的:
- 评估儿科深部空间感染的临床表现.
- 评估儿童DNSI的诊断成像方法.
- 分析儿科DNSI的外科管理.
主要方法:
- 在2002年至2022年期间被诊断患有DNSI的儿科患者 (≤16岁) 的回顾性审查.
- 对266例病例的分析,重点是八名患有偏或逆腹的患者.
- 评估临床表现,成像,呼吸道管理和手术方法.
主要成果:
- 患有副或逆腹的患者明显年轻 (平均年龄为5.2岁),而不是患有腹腹 (平均年龄为13.5岁) 的患者.
- 高烧和结是最常见的症状.
- 在初始超声波后,需要对比度增强的CT或MRI来确定确诊;七名患者接受了手术排水,在四次微创手术中使用图像引导导航.
结论:
- 及时诊断和量身定制的手术方法对于儿科DNSI至关重要.
- 图像,特别是MRI,对于部的定位和软组织的评估至关重要.
- 最少侵入性,图像引导技术和多学科护理提高了手术精度,并优化了儿科深部空间感染的结果.
关键词:
深部位感染 部位感染图像导航导航导航图像导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航导航部液排水 部液排水副喉腹 (Papharyngeal abscess) 是一种类型的腹.儿科的气道管理.后喉腹 (retropharyngeal abscess) 是一种发生在后喉的瘤.
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