Occurrence of silk stitch abscess after surgery in patients with oral squamous cell carcinoma.
Occurrence of silk stitch abscess after surgery in patients with oral squamous cell carcinoma.
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DOI：
10.4317/medoral.18792
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发表时间：
2013-07-01
期刊：
影响因子：
--
通讯作者：
Morimoto Y
中科院分区：
文献类型：
--
作者：
Yamamoto N;Yamashita Y;Yoshiga D;Ishikawa A;Matsuo K;Miyamoto I;Oda M;Tanaka T;Kito S;Seta Y;Takahashi T;Koga H;Kawano K;Morimoto Y
目的：目的探讨口腔鳞状细胞癌（SCC）术后发生针迹脓肿的相关因素及临床特点。患者和方法：受试者为232例接受切除和/或重建和/或颈淋巴结清扫术的口腔鳞状细胞癌患者，使用丝线缝合血管高位结扎。通过比较232例经超声诊断的术后缝合脓肿患者和术后无缝合脓肿患者的超声检查结果，回顾性评价了缝合脓肿患者的检出率和特征。在低回声肿块内出现几个回声点伴细微声影，是缝线脓肿的特征性超声表现。比较有和没有针迹脓肿的患者组的各种因素，以确定那些容易发生针迹脓肿。分析的因素包括患者的性别和年龄、化疗治疗、放疗治疗、过敏史和血液检查结果。结果如下：发现针迹脓肿的发生与年龄、血液检查中肝功能异常和过敏史之间存在显著相关性。多针脓肿的发生率明显高于单针脓肿。结论：缝线渗漏的发生与年龄、肝功能障碍和/或过敏有关。诊断针迹脓肿时，多针迹脓肿的出现是很重要的。 关键词：针迹脓肿，口腔癌，易感性，特点，鳞状细胞癌。
Objectives: To elucidate the predisposing factors and clinical characteristics related to the occurrence of stitch abscess after surgery in patients with oral squamous cell carcinoma (SCC). Patients and Methods: The subjects were 232 patients who underwent excision and/or reconstruction and/or neck dissection for oral SCC using silk sutures for high ligation of the blood vessels. Detection rates and characteristics of patients with stitch abscess were retrospectively evaluated by comparing patients with and without stitch abscesses after surgery diagnosed by ultrasonography and findings of various modalities in 232 patients. Several echogenic dots with subtle acoustic shadows in a hypoechoic mass were identified as the characteristic findings of stitch abscess on US. The patient groups with and without stitch abscess were compared with respect to various factors to identify those that predispose to the occurrence of stitch abscess. The factors analyzed included patients’ sex and age, chemotherapy treatment, radiotherapy treatment, the presence of a history of allergy, and blood test results. Results: A significant correlation was found between the occurrence of stitch abscess and age, liver function abnormalities on blood tests, and the presence of a history of allergy. Multiple stitch abscesses clearly tended to occur more often than single ones in patients with stitch abscess. Conclusions: The occurrence of stitch abscesses was related to age, liver dysfunction, and/or the presence of allergies. When diagnosing stitch abscess, the occurrence of multiple stitch abscesses is important. Key words:Stitch abscess, oral cancer, predisposition, characteristics, squamous cell carcinoma.
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影响因子：
2.4
作者：
Imamoglu, M;Çay, A;Ahmetoglu, A
通讯作者：
Ahmetoglu, A
影响因子：
1.8
作者：
Calkins, Casey M.;St Peter, Shawn D.;Murphy, Patrick J.
通讯作者：
Murphy, Patrick J.
影响因子：
3.2
作者：
Togo, Shinji;Kubota, Toru;Shimada, Hiroshi
通讯作者：
Shimada, Hiroshi
影响因子：
4.8
作者：
Yamamoto, Noriaki;Yamashita, Yoshihiro;Morimoto, Yasuhiro
通讯作者：
Morimoto, Yasuhiro
影响因子：
6.6
作者：
Imamoglu, M;Çay, A;Özdemir, O
通讯作者：
Özdemir, O