摘要
1982年5月～1994年9月收治急性化脓性甲状腺炎13例,年龄6～39岁,平均13.9岁(其中儿童9例)。既往有甲状腺肿块史8例。术前确诊11例,误诊2例。行脓肿切开引流11例。获随访6例患者均无复发。作者就本组资料并结合文献认为急性化脓性甲状腺炎的发生与梨状窝痿有关,一旦确诊应立即行切开引流,若有梨状窝瘘管存在,则同时行瘘管切除。
From May 1982 to September 1994,13 cases patients with acute suppurative thyroiditis were treated. Their ages ranged from 6 to 39 years with a mean of 13. 9 years (nine of them were children). In this group,8 cases had a pre-existing thyroid mass. Correct diagnosis were made preoperatively in 11 cases and the other two were misdiagnosed before operation. Eleven patients underwent incision and drainge,amony them 6 cases had been followed up with no recurrence. Based on this result and re-viewing literatures,the author draw the conclusion that acute suppurative thyoiditis is related with fistula of pyriform fossa,incision and drainage must be carried out and if there is fistula present, fistulectomy should be performed.
