보존적 치료에 반응하지 않는 심경부 감염 환자의 임상양상 (Clinical Characteristics of Medically Intractable Deep Neck Infection Patients)

서지정보

· 발행기관 : 대한이비인후과학회
· 수록지 정보 : 대한이비인후-두경부외과학회지 / 52권 / 1호 / 62 ~ 66페이지
· 저자명 : 조경래, 유영삼

초록

Background and Objectives：In the era of antibiotics, some deep neck infections can be managed by conservative treatment, but
some still need surgical treatment. In this study, we discuss whether or not there are significant differences between conservative
treatment group and surgical treatment group in deep neck infections. Subjects and Method：We conducted a retrospective
analysis of medical records of 56 patients with deep neck infections from January 2005 to December 2007. Among 56 patients,
39 patients were managed by conservative treatment with antibiotics and 17 patients were managed by surgical treatment via
transcervical approach with antibiotics. As for data analysis, Mann-Whitney U test was used. Results：In surgical treatment
group, age, duration from symptom onset to hospitalization, hospital days, incidence of underlying disease, WBC (white blood
cell) count, ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) were higher than the conservative treatment
group. But, there was no statistical significance except hospital days, incidence of hypertension and CRP. Especially, initial CRP
in conservative treatment group was 9.7 mg/dL and in surgical treatment group was 28.2 mg/dL. Conclusion：CRP in deep
neck infection patients managed by surgical treatment via transcervical approach was about 3 times higher than patients managed
by the conservative treatment only. Further study will be needed to determine the availability of CRP as a considering
factor to decide the surgical treatment in deep neck infections.

영어초록

Background and Objectives：In the era of antibiotics, some deep neck infections can be managed by conservative treatment, but
some still need surgical treatment. In this study, we discuss whether or not there are significant differences between conservative
treatment group and surgical treatment group in deep neck infections. Subjects and Method：We conducted a retrospective
analysis of medical records of 56 patients with deep neck infections from January 2005 to December 2007. Among 56 patients,
39 patients were managed by conservative treatment with antibiotics and 17 patients were managed by surgical treatment via
transcervical approach with antibiotics. As for data analysis, Mann-Whitney U test was used. Results：In surgical treatment
group, age, duration from symptom onset to hospitalization, hospital days, incidence of underlying disease, WBC (white blood
cell) count, ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) were higher than the conservative treatment
group. But, there was no statistical significance except hospital days, incidence of hypertension and CRP. Especially, initial CRP
in conservative treatment group was 9.7 mg/dL and in surgical treatment group was 28.2 mg/dL. Conclusion：CRP in deep
neck infection patients managed by surgical treatment via transcervical approach was about 3 times higher than patients managed
by the conservative treatment only. Further study will be needed to determine the availability of CRP as a considering
factor to decide the surgical treatment in deep neck infections.

참고자료

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