{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T18:17:14Z","timestamp":1793729834184,"version":"4.6.1"},"reference-count":11,"publisher":"Akademiai Kiado Zrt.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2007,1,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>\n          <jats:italic>Bevezet\u00e9s:<\/jats:italic> A sternoclavicularis \u00edz\u00fclet pyogen fert\u0151z\u00e9se ritka k\u00f3rk\u00e9p, melynek kezel\u00e9se lehet konzervat\u00edv (antibiotikumok), vagy seb\u00e9szi (az \u00edz\u00fclet felt\u00e1r\u00e1sa \u00e9s drainage-a, illetve annak resectioja). A szerz\u0151k elemzik a sternoclavicularis \u00edz\u00fclet pyogen fert\u0151z\u00e9se miatt kezelt betegek oki \u00e9s predispon\u00e1l\u00f3 t\u00e9nyez\u0151it, t\u00fcneteit, a diagn\u00f3zis \u00e9s a m\u0171t\u00e9ti kezel\u00e9s k\u00e9rd\u00e9seit \u00e9s annak eredm\u00e9nyess\u00e9g\u00e9t.<\/jats:p>\n        <jats:p>\n          <jats:italic>Betegek \u00e9s m\u00f3dszer:<\/jats:italic> A 6 betegn\u00e9l (5 f\u00e9rfi, egy n\u0151, \u00e1tlag\u00e9letkor: 56, 8 \u00e9v) a kiv\u00e1lt\u00f3 ok 2-2 esetben trauma, illetve t\u00e1voli szeptikus g\u00f3c, 1-1 esetben intraarticularisan adott injekci\u00f3, illetve kor\u00e1bbi sug\u00e1rkezel\u00e9s volt. A betegs\u00e9gre hajlamos\u00edt\u00f3 t\u00e9nyez\u0151 (diabetes mellitus, k\u00f6szv\u00e9ny, kr\u00f3nikus alkoholizmus \u00e9s m\u00e1jcirrho-sis) 2 betegn\u00e9l volt kimutathat\u00f3. A leggyakoribb t\u00fcnet az \u00edz\u00fclet duzzanata, a b\u0151rp\u00edr, a l\u00e1z, a f\u00e1jdalom \u00e9s a v\u00e1ll mozg\u00e1skorl\u00e1tozotts\u00e1ga volt. Valamennyi betegn\u00e9l a CT-vizsg\u00e1lat igazolta az \u00edz\u00fclet destructioj\u00e1t. Konzervat\u00edv ter\u00e1pi\u00e1t egy esetben alkalmaztak, de ennek eredm\u00e9nytelens\u00e9ge miatt radik\u00e1lis resectiot v\u00e9geztek. Egy-egy betegn\u00e9l a t\u00f6bbsz\u00f6r\u00f6s szeptikus g\u00f3c \u00e9s a k\u00eds\u00e9r\u0151 mediastinitis miatt el\u0151sz\u00f6r debridement \u00e9s drainage m\u0171t\u00e9t, k\u00e9s\u0151bb m\u00e1sodik \u00fcl\u00e9sben resectio, a t\u00f6bbi h\u00e1rom betegn\u00e9l els\u0151 \u00fcl\u00e9sben az \u00edz\u00fclet resectioja t\u00f6rt\u00e9nt.<\/jats:p>\n        <jats:p>\n          <jats:italic>Erdem\u00e9nyek:<\/jats:italic> A konzervat\u00edv, illetve drainage kezel\u00e9s mindh\u00e1rom esetben eredm\u00e9nytelen volt, ezzel szemben az \u00edz\u00fclet resectioja valamennyi betegn\u00e9l gy\u00f3gyul\u00e1st eredm\u00e9nyezett. M\u0171t\u00e9ti sz\u00f6v\u0151dm\u00e9nyt nem \u00e9szleltek. Radik\u00e1lis m\u0171t\u00e9t ut\u00e1n \u00e1tlagosan 28,2 h\u00f3nappal a funkcion\u00e1lis eredm\u00e9nyek kiv\u00e1l\u00f3ak voltak.<\/jats:p>\n        <jats:p>\n          <jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic> A konzervat\u00edv kezel\u00e9s \u00e9s a drainage csak akkor aj\u00e1nlott, ha s\u00falyos sz\u00f6v\u0151dm\u00e9nyek t\u00e1rsulnak a betegs\u00e9ghez. Ilyenkor m\u00e1sodik \u00fcl\u00e9sben \u00e9rdemes resectiot v\u00e9gezni. A legeredm\u00e9nyesebb kezel\u00e9si m\u00f3dnak a radik\u00e1lis resectiot tartj\u00e1k.<\/jats:p>","DOI":"10.1556\/maseb.60.2007.1.9","type":"journal-article","created":{"date-parts":[[2008,11,1]],"date-time":"2008-11-01T02:03:41Z","timestamp":1225505021000},"page":"514-517","source":"Crossref","is-referenced-by-count":4,"title":["Sternoclavicularis \u00edz\u00fclet fert\u0151z\u00e9s\u00e9nek seb\u00e9szi kezel\u00e9ser"],"prefix":"10.1556","volume":"60","author":[{"given":"Zsolt","family":"Szentkereszty","sequence":"first","affiliation":[{"name":"1 Seb\u00e9szeti Int\u00e9zet, Auguszta Seb\u00e9szeti K\u00f6zpont, DE OEC, Debrecen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e1nos","family":"P\u00f3s\u00e1n","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Int\u00e9zet, Auguszta Seb\u00e9szeti K\u00f6zpont, DE OEC, Debrecen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katalin","family":"Pet\u0151","sequence":"additional","affiliation":[{"name":"2 Seb\u00e9szeti Int\u00e9zet, Seb\u00e9szeti M\u0171t\u00e9ttani Tansz\u00e9k, DE OEC, Debrecen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"S\u00e1py","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Int\u00e9zet, Auguszta Seb\u00e9szeti K\u00f6zpont, DE OEC, Debrecen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikl\u00f3s","family":"Boros","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Int\u00e9zet, Auguszta Seb\u00e9szeti K\u00f6zpont, DE OEC, Debrecen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Istv\u00e1n","family":"Tak\u00e1cs","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Int\u00e9zet, Auguszta Seb\u00e9szeti K\u00f6zpont, DE OEC, Debrecen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e1ndor","family":"Sz. 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