Wolf M, Kronenberg J, Kessler A, Modan M, Leventon G
Department of Otorhinolaryngology, Sheba-Medical-Center, Tel-Hashomer, Israel.
Int J Pediatr Otorhinolaryngol. 1988 Nov;16(2):113-7. doi: 10.1016/s0165-5876(98)90034-9.
38 children aged 1-15 years treated for peritonsillar abscess (PTA) between 1976 and 1986 have been reviewed. The patients were divided into those with a history of recurrent tonsillitis prior to developing PTA (T+) (10 patients = 26.3%) and those without such history (T-) (28 patients = 73.4%). 19 patients were surgically drained, 2 abscesses ruptured spontaneously, 2 patients were treated by repeated needle aspirations and 15 patients were treated by medication only. Neither the pre-PTA history (T+ versus T-) nor the mode of treatment during the acute event showed any significant differences in comparing the recurrency rate of PTA or tonsillitis. Therefore, it seems that a single event of PTA among pediatric population should not be considered an indication for tonsillectomy.
对1976年至1986年间接受扁桃体周围脓肿（PTA）治疗的38名1至15岁儿童进行了回顾性研究。患者被分为在发展为PTA之前有复发性扁桃体炎病史的患者（T+）（10例患者 = 26.3%）和无此类病史的患者（T-）（28例患者 = 73.4%）。19例患者接受了手术引流，2例脓肿自行破裂，2例患者接受了反复穿刺抽吸治疗，15例患者仅接受药物治疗。在比较PTA或扁桃体炎的复发率时，PTA前的病史（T+与T-）以及急性发作期间的治疗方式均未显示出任何显著差异。因此，似乎儿童群体中单次PTA事件不应被视为扁桃体切除术的指征。
