INTERNAL FISTULA AS A ROUTE OF INFECTION IN ACUTE SUPPURATIVE THYROIDITIS
INTERNAL FISTULA AS A ROUTE OF INFECTION IN ACUTE SUPPURATIVE THYROIDITIS
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内瘘作为急性化脓性甲状腺炎的感染途径
DOI：
10.1016/s0140-6736(79)91208-x
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发表时间：
1979
期刊：
影响因子：
--
通讯作者：
K. Kuma
中科院分区：
文献类型：
--
作者：
S. Takai;F. Matsuzuka;G. Kōsaki;A. Miyauchi;K. Kuma
本文报告7例急性化脓性甲状腺炎。6名患者的左侧前颈反复出现痛性肿胀，1名患者在首次发病时出现。所有病例的X线检查均显示左侧梨状窝尖有瘘管。瘘管是第四咽囊的残留物，因此似乎是急性化脓性甲状腺炎的常见感染途径，使细菌感染从甲状腺周围间隙开始并扩散到甲状腺。需要彻底根治瘘管才能根治。
Seven cases of acute suppurative thyroiditis are described. Six patients had a recurrent painful swelling of the left anterior neck and one was seen at her first episode of the disease. A barium meal revealed a fistula originating from the apex of the left pyriform sinus in all cases. The fistula, a remnant of the fourth pharyngeal pouch, thus seems to be a common route of infection in acute suppurative thyroiditis, allowing bacterial infection to begin in the perithyroidal space and spread to the thyroid gland. Complete extirpation of the fistula is required for a permanent cure.