Johnson Romaine F, Stewart Michael G, Wright Crystal C
Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, Houston, Texas 77030, USA.
Otolaryngol Head Neck Surg. 2003 Mar;128(3):332-43. doi: 10.1067/mhn.2003.93.
Peritonsillar abscess (PTA) is commonly seen but still controversial. We performed an evidence-based review to answer 3 questions: Are steroids beneficial? Which is the best technique for acute surgical management? When is tonsillectomy indicated?
We performed a MEDLINE search of the published literature using appropriate search terms to identify pertinent articles, which were reviewed and graded according to the evidence quality.
Forty-two articles were analyzed. There are no published studies on steroids in PTA. There were 5 level I clinical studies on surgical technique, which indicated that needle aspiration, incision and drainage, and quinsy tonsillectomy are all effective for initial management. The overall PTA recurrence rate is 10% to 15%.
Overall, grade C evidence indicates that several methods of initial surgical drainage are equally effective, and the recurrence rate is low. The literature does not specifically address different treatments for children and adults.
扁桃体周围脓肿（PTA）较为常见，但仍存在争议。我们进行了一项循证综述，以回答3个问题：类固醇有益吗？急性手术治疗的最佳技术是什么？何时需要进行扁桃体切除术？
我们使用适当的检索词对MEDLINE上发表的文献进行检索，以识别相关文章，并根据证据质量对其进行审查和分级。
分析了42篇文章。尚无关于PTA中使用类固醇的已发表研究。有5项关于手术技术的I级临床研究，表明针吸、切开引流和扁桃体周围脓肿扁桃体切除术对初始治疗均有效。PTA的总体复发率为10%至15%。
总体而言，C级证据表明，几种初始手术引流方法同样有效，且复发率较低。文献未特别提及儿童和成人的不同治疗方法。
