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扁桃体周围脓肿的即刻扁桃体切除术治疗

Immediate tonsillectomy for the treatment of peritonsillar abscess.

作者信息

Templer J W, Holinger L D, Wood R P, Tra N T, DeBlanc G B

出版信息

Am J Surg. 1977 Nov;134(5):596-8. doi: 10.1016/0002-9610(77)90442-1.

DOI:10.1016/0002-9610(77)90442-1
PMID:270291
Abstract

Our experience with 119 cases of peritonsillar abscess supports the experience of others, that immediate tonsillectomy is a safe treatment which provides prompt, complete drainage of the abscess. There was one episode of immediate postoperative hemorrhage and one of delayed bleeding, but there were no anesthetic complications. If one believes that the abscess is an indication for tonsillectomy and plans to perform the procedure at some time, we recommend that it be performed as the drainage procedure. The total hospitalization time will as a rule be shortened and a second convalescent period avoided. Its major drawback is the inconvenience of inserting a relative emergency into the schedule.

摘要

我们对119例扁桃体周脓肿患者的治疗经验证实了其他人的经验,即立即行扁桃体切除术是一种安全的治疗方法,能迅速、彻底地排出脓肿。术后有1例立即出血和1例延迟出血,但无麻醉并发症。如果有人认为脓肿是扁桃体切除术的指征,并计划在某个时候进行该手术,我们建议将其作为引流手术来进行。通常住院总时间会缩短,且可避免二次恢复期。其主要缺点是在日程安排中插入一个相对紧急的手术会带来不便。

相似文献

1
Immediate tonsillectomy for the treatment of peritonsillar abscess.扁桃体周围脓肿的即刻扁桃体切除术治疗
Am J Surg. 1977 Nov;134(5):596-8. doi: 10.1016/0002-9610(77)90442-1.
2
Peritonsillar abscess: treatment with immediate tonsillectomy - 10 years of experience.扁桃体周围脓肿:即时扁桃体切除术治疗——10年经验
Acta Otolaryngol. 2012 Oct;132(10):1102-7. doi: 10.3109/00016489.2012.684399. Epub 2012 Jun 18.
3
Peritonsillar abscess. A comparison of treatment by immediate tonsillectomy and interval tonsillectomy.扁桃体周脓肿。即刻扁桃体切除术与间隔扁桃体切除术治疗的比较。
Arch Otolaryngol. 1977 Jul;103(7):414-5. doi: 10.1001/archotol.1977.00780240072010.
4
Peritonsillar abscess. I. Cases treated by incision and drainage: a follow-up investigation.扁桃体周围脓肿。一、切开引流治疗的病例:一项随访调查。
J Laryngol Otol. 1981 Aug;95(8):801-5.
5
Unilateral immediate tonsillectomy as the treatment of peritonsillar abscess: results, with special attention to pharyngitis.单侧即刻扁桃体切除术治疗扁桃体周围脓肿:结果,特别关注咽炎
J Laryngol Otol. 1983 Dec;97(12):1105-9. doi: 10.1017/s0022215100096067.
6
Immediate tonsillectomy for peritonsillar abscess.扁桃体周围脓肿的即刻扁桃体切除术
Auris Nasus Larynx. 1999 Jul;26(3):299-304. doi: 10.1016/s0385-8146(98)00070-4.
7
Immediate tonsillectomy: indications for use as first-line surgical management of peritonsillar abscess (quinsy) and parapharyngeal abscess.即刻扁桃体切除术:作为扁桃体周围脓肿(咽峡炎)和咽旁脓肿一线外科治疗方法的应用指征。
J Laryngol Otol. 2010 Oct;124(10):1085-90. doi: 10.1017/S0022215110000903. Epub 2010 Apr 20.
8
Clinical advantage of abscess tonsillectomy in peritonsillar abscess.
Acta Otorhinolaryngol Belg. 2000;54(4):459-64.
9
Hemorrhage risk after quinsy tonsillectomy.扁桃体周围脓肿扁桃体切除术后的出血风险
Otolaryngol Head Neck Surg. 2005 Nov;133(5):729-34. doi: 10.1016/j.otohns.2005.07.013.
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Peritonsillar abscess: clinical aspects of microbiology, risk factors, and the association with parapharyngeal abscess.扁桃体周围脓肿:微生物学的临床方面、危险因素以及与咽旁脓肿的关联
Dan Med J. 2017 Mar;64(3).

引用本文的文献

1
Indications for tonsillectomy stratified by the level of evidence.根据证据水平分层的扁桃体切除术适应症。
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2016 Dec 15;15:Doc09. doi: 10.3205/cto000136. eCollection 2016.
2
Peritonsillar abscess: remember to always think twice.扁桃体周围脓肿:记住要始终三思。
Eur Arch Otorhinolaryngol. 2016 May;273(5):1269-81. doi: 10.1007/s00405-015-3582-0. Epub 2015 Mar 21.
3
[Therapy options for peritonsillar abscess].[扁桃体周脓肿的治疗选择]
HNO. 2009 Mar;57(3):223-9. doi: 10.1007/s00106-008-1882-z.
4
Bilateral peritonsillar abscesses.
Eur Arch Otorhinolaryngol. 2005 Jul;262(7):573-5. doi: 10.1007/s00405-004-0870-5. Epub 2005 Jan 25.
5
[Trends and complications in the management of peritonsillar abscess with emphasis on children].[以儿童为重点的扁桃体周围脓肿管理的趋势与并发症]
HNO. 2005 Jan;53(1):46-57. doi: 10.1007/s00106-003-1036-2.
6
[Upper airway obstruction in a child caused by enlarged tonsils and adenoids].[扁桃体和腺样体肿大导致儿童上呼吸道梗阻]
Can Med Assoc J. 1980 Jan 26;122(2):196-8.
7
Physician knowledge of risks of surgical and invasive diagnostic procedures.医生对手术及侵入性诊断程序风险的了解。
West J Med. 1985 Apr;142(4):565-9.
8
Bilateral peritonsillar abscesses and quinsy tonsillectomy.双侧扁桃体周围脓肿及扁桃体周围脓肿切开引流术
J Natl Med Assoc. 1985 Oct;77(10):807-12.
9
Impact on peritonsillar infections and microflora of phenoxymethylpenicillin alone versus phenoxymethylpenicillin in combination with metronidazole.单独使用苯氧甲基青霉素与苯氧甲基青霉素联合甲硝唑对扁桃体周围感染及微生物群的影响
Infection. 1986 May-Jun;14(3):129-33. doi: 10.1007/BF01643477.