颈深部脓肿的临床特征及预后影响因素分析OA北大核心CSTPCD

Objective To analyze the clinical characteristics and prognostic factors of deep cervical abscesses.Methods The medical records of 166 patients with deep cervical abscesses who underwent emergency surgical treatment in the Department of Otolaryngology of our hospital between October 2014 and August 2023 were retrospectively analyzed.The age-adjusted Charlson comorbidity index(aCCI)was calculated based on the data obtained.The patients were divided into good and poor prognosis groups,and multivariate logistic regres-sion was used to analyze the impact of various indicators on the prognosis of the two groups of patients.Results Statistically significant differences in sex,age,mediastinal infection,sepsis,diabetes,hypertension,C-reactive protein(CRP)and procalcitonin(PCT)levels,and the aCCI scores were observed between the two groups(P<0.05).Thus,these factors have a significant impact on the prognosis of patients with deep cervical abscesses.Multivariate regression analysis showed that mediastinal infection,hypertension,and the aCCI score were independent predictors of poor prognosis in patients with deep cervical abscesses(P<0.05).Conclusion Mediastinal infection,hypertension,and the aCCI score are independent risk factors for poor prognosis in patients with deep neck abscesses and can be used to preliminarily evaluate the prognosis of patients with deep cervical abscesses.