穿刺抽脓治疗扁桃体周围脓肿的临床分析

45例扁桃体周围脓肿(PA)病例经穿刺抽脓法治疗,89%首次抽脓阳性,需复穿者仅33%,所有病例均痊愈出院,未见严重并发症.随访其中32例,3例(9.4%)复发患侧PA,10例31%发生慢性扁桃体炎.分析显示35岁以下组复发率显著高于35岁以上组(P<0.01),且复发病例大多数(77%)有既往发作史.结果表明穿刺抽脓法简单易行、疗效肯定,可常规用千治疗PA.基干本文分忻,作者建议预防性扁桃体切除术宜施于年龄35岁以下,有既往发作史的复发病例.

NEEDLE ASPIRATION FOR THE TREATMENT OF PERITONSILLAR ABSCESS

Forty-five patients with peritonsillar abscesses(PA) were treated by needle aspiration. Pus was drawn in 89%(40/45) of the cases at the first aspiration and repeated aspiration was necessary in 33%(15/45) of the patients. All of the patients were cured by needle aspiration without further invasive therapy and no serious complication was observed. 32 out of 45 patients were available for follow-up. Among them, three had another recurrent PA in situ and the other ten(31%) had recurrent tonsillitis. However, analysis showed that the patients under 35 years of age had higher recurreuce rate of PA of recurrent tonsillitis than those over 35 years old(P<0. 01), and that 77% of the patients with recurrent symptoms had past history of tonsillar diseases.These data indicated that needle aspiration is a simple and effective treatment for PA, and that preventive tonsillectomy should be performed on those patients under 35 years of age and with the history of recurrent and previous tonsillar diseases