Knipping S, Passmann M, Schrom Th, Berghaus A
Martin Luther University Halle Wittenberg, Department of Otorhinolaryngology, Head and Neck Surgery, Magdeburger Str. 12, D-06097 Halle/Saale, Germany.
Rev Laryngol Otol Rhinol (Bord). 2002;123(1):13-6.
Peritonsillar abscess (PTA) is a common but potentially serious complication of acute exudative tonsillitis. Several treatment guidelines have been described including needle aspiration, incision and drainage or abscess tonsillectomy. From January 1996 to September 2000 145 patients (53 female and 92 male, age range 3-95 years) were treated for PTA at the Department of Otorhinolaryngology, Head and Neck Surgery of the MLU Halle-Wittenberg, Germany. The highest incidence of PTA was observed in the second and third decades of life. Immediate abscess tonsillectomy was performed in 105 cases. This procedure, considered as safe and easy, has a lot of advantages. Compared with other treatments, it removes the abscess with amelioration of the trismus and dysphagia. Needle aspiration as the initial and only treatment was performed in 13 patients. In 20 patients without clinical improvement after aspiration, abscess tonsillectomy was undertaken. We conclude that immediately performed abscess tonsillectomy is an effective and safe treatment for peritonsillar abscess.
扁桃体周围脓肿（PTA）是急性渗出性扁桃体炎常见但可能严重的并发症。已有多种治疗指南，包括针吸、切开引流或脓肿扁桃体切除术。1996年1月至2000年9月，德国哈雷 - 维滕贝格马丁路德大学耳鼻咽喉头颈外科收治了145例PTA患者（女性53例，男性92例，年龄范围3 - 95岁）。PTA发病率最高的年龄段为20至30岁。105例患者接受了即刻脓肿扁桃体切除术。该手术被认为安全简便，有诸多优点。与其他治疗方法相比，它能消除脓肿，改善牙关紧闭和吞咽困难症状。13例患者仅采用针吸作为初始及唯一治疗方法。20例针吸后无临床改善的患者接受了脓肿扁桃体切除术。我们得出结论，即刻进行脓肿扁桃体切除术是治疗扁桃体周围脓肿的一种有效且安全的方法。
