CAJ | 학술논문

目的：探讨鼻窦炎引起的眶骨膜下脓肿的临床特征及治疗策略。方法回顾分析16例鼻源性眶骨膜下脓肿的临床资料，包括成人11例、儿童5例。11例成年患者入院24 h内行眶骨膜下脓肿引流及内镜下鼻窦开放，其中5例眶骨膜下脓肿位于眶内侧或内下方者采取经鼻窦引流，6例位于眶上方者采取B超引导下穿刺引流。5例儿童患者采取抗感染治疗，其中1例症状无好转而改行手术。结果15例治愈，随访6～32个月无复发；1例因合并颅内感染死亡。结论鼻源性眶骨膜下脓肿应根据脓肿部位与患者年龄采用不同的治疗方法，以达到微创目的；尽早行鼻窦引流消除原发感染病灶，高度警惕合并颅内并发症。（中国眼耳鼻喉科杂志，2014，14：313-315）
목적：탐토비두염인기적광골막하농종적림상특정급치료책략。방법회고분석16례비원성광골막하농종적림상자료，포괄성인11례、인동5례。11례성년환자입원24 h내행광골막하농종인류급내경하비두개방，기중5례광골막하농종위우광내측혹내하방자채취경비두인류，6례위우광상방자채취B초인도하천자인류。5례인동환자채취항감염치료，기중1례증상무호전이개행수술。결과15례치유，수방6～32개월무복발；1례인합병로내감염사망。결론비원성광골막하농종응근거농종부위여환자년령채용불동적치료방법，이체도미창목적；진조행비두인류소제원발감염병조，고도경척합병로내병발증。（중국안이비후과잡지，2014，14：313-315）
Objective To study the clinical features and therapeutic strategies of subperiosteal abscess caused by sinusitis.Methods Data of 16 cases with rhinogenic subperiosteal abscess were analyzed retrospectively .In the 16 cases, there were 11 adults and 5 children.The 11 adult patients received subperiosteal abscess drainage and endoscopic sinus surgery at the same time .Five cases were treated by using sinus drainage as the subperiosteal abscess located within or below the medial orbital;6 cases with abscess located above the orbital were given type-B ultrasonography guided puncture drainage . Five pediatric patients accepted anti-infection treatment , in which one case without obvious improvement diverted for operation .Results During the follow-up of 6~32 months, fifteen cases were cured and one patient died of intracranial infection .Conclusions Rhinogenic subperiosteal abscess should be given different treatment based on the location of the abscess and the age of patient in order to achieve minimal invasion .Sinus drainage should be given as soon as possible to eliminate the primary infection lesions and to avoid intracranial complications.