短暂性颈动脉血管周围炎导致颈部疼痛的诊疗分析

Diagnosis and treatment of neck pain caused by transient perivascular inflammation of the carotid artery

目的探讨短暂性颈动脉血管周围炎(TIPIC)综合征的临床表现及诊治策略,提高口腔临床医师对TIPIC的认知。方法收集2017年3月至2022年12月就诊于南京同仁医院口腔颌面外科的6例临床表现为单侧颈部不明原因的突发性疼痛患者,通过超声及影像学检查辅助诊断。进一步对患者的病史、诊断和随访,以及相关文献进行了系统、回顾性研究。结果6例患者均表现为急性颈中部不明原因的疼痛。超声显示所有患者的颈总动脉分叉处管壁弥漫性增厚。6例患者均给予非甾体类抗炎药进行治疗,2周内疼痛症状完全缓解。随访1个月时,超声显示6例患者血管异常均消退。结论超声及影像学检查对诊断TIPIC综合征的发挥积极作用,非甾体抗炎药物对TIPIC综合征疗效显著。

Objective This study aimed to investigate the clinical manifestation,diagnosis and treatment of transient perivascular inflammation of the carotid artery(TIPIC)and to improve the knowledge of dentists about TIPIC.Methods The patients with sudden pain of unknown cause in unilateral neck were recorded from March 2017 to December 2022 in our department.The ultrasound and imaging examinations were used for the diagnosis of TIPIC.The related literature of TIPIC was studied systematically.Results A total of six patients presented with acute pain of unknown cause in the middle of neck and ultrasonography showed diffuse thickening of the carotid bifurcation in all patients.All patients were treated with non-steroidal drugs and the pain was completely relieved within 2 weeks.After 1 month follow-up,ultrasound showed a good recovery of previous abnormal vascular conditions.Conclusion Ultrasonography and imaging examinations played a positive role in the diagnosis of TIPIC and non-steroidal anti-inflammatory drugs were usually effective in the treatment of this disease.