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[扁桃体周围脓肿的临床、组织学及细菌学表现]

[Clinical, histologic and bacteriologic findings in peritonsillar abscess].

作者信息

Matschke R G, Plath P

机构信息

HNO-Abteilung der Ruhr-Universität Bochum am Prosper-Hospital, Recklinghausen.

出版信息

Laryngol Rhinol Otol (Stuttg). 1987 Sep;66(9):492-3.

PMID:3316885
Abstract

Peritonsillar abscesses are the main complication of chronic inflammation of the tonsils. They should be considered as emergency cases and require quick and adequate treatment. Although abscess tonsillectomy has been reported since 1932, there is still a vivid discussion about this method of choice. We report on our experiences and findings in 284 cases of peritonsillar abscess. Our experiences show that theoretical considerations against this method of surgical treatment are smaller than the advantages for the patient. The authors recommend abscess tonsillectomy at one time and on both tonsils as treatment of choice in peritonsillar abscess without restriction.

摘要

扁桃体周脓肿是扁桃体慢性炎症的主要并发症。应将其视为急症病例,需要迅速且充分的治疗。尽管自1932年以来就有关于脓肿扁桃体切除术的报道,但对于这种治疗方法的选择仍存在热烈的讨论。我们报告了284例扁桃体周脓肿患者的经验和研究结果。我们的经验表明,反对这种手术治疗方法的理论考量小于对患者的益处。作者建议在无禁忌的情况下,一次性对双侧扁桃体进行脓肿扁桃体切除术作为扁桃体周脓肿的首选治疗方法。

相似文献

1
[Clinical, histologic and bacteriologic findings in peritonsillar abscess].[扁桃体周围脓肿的临床、组织学及细菌学表现]
Laryngol Rhinol Otol (Stuttg). 1987 Sep;66(9):492-3.
2
[The His duct as a cause of peritonsillar abscess before and after tonsillectomy].[扁桃体切除术前、后咽鼓管作为扁桃体周围脓肿病因的探讨]
HNO. 1992 Mar;40(3):94-6.
3
[Peritonsillar abscess. Occurrence of disease requiring surgery in the remaining tonsil after unilateral tonsillectomy à chaud].[扁桃体周围脓肿。单侧热凝扁桃体切除术后,剩余扁桃体发生需手术治疗的疾病]
Ugeskr Laeger. 1991 Sep 23;153(39):2745-7.
4
Peritonsillar abscess. II. Cases treated with tonsillectomy à chaud.
J Laryngol Otol. 1981 Aug;95(8):805-7.
5
Routine abscess tonsillectomy: late results.
Laryngoscope. 1976 Feb;86(2):286-90. doi: 10.1288/00005537-197602000-00026.
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[Occult peritonsillar abscess: an unusual cause of unilateral tonsillar enlargement].[隐匿性扁桃体周脓肿:单侧扁桃体肿大的罕见病因]
Harefuah. 2008 Oct;147(10):768-9, 839.
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[Peritonsillar abscesses (quincy)].[扁桃体周围脓肿(扁桃体周脓肿)]
Ann Otolaryngol Chir Cervicofac. 2007 Mar;124(1):9-15. doi: 10.1016/j.aorl.2006.08.001.
8
Otolaryngology consultation for peritonsillar abscess in the pediatric population.针对小儿扁桃体周围脓肿的耳鼻喉科会诊。
Laryngoscope. 2000 Oct;110(10 Pt 1):1698-701. doi: 10.1097/00005537-200010000-00024.
9
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.
10
Immediate tonsillectomy for peritonsillar abscess.扁桃体周围脓肿的即刻扁桃体切除术
Acta Otolaryngol Suppl. 1996;523:252-5.

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
Clinical practice guideline: tonsillitis II. Surgical management.临床实践指南:扁桃体炎 二、手术治疗
Eur Arch Otorhinolaryngol. 2016 Apr;273(4):989-1009. doi: 10.1007/s00405-016-3904-x. Epub 2016 Feb 16.
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
[Is postoperative antibiotic treatment mandatory after abscess tonsillectomy].扁桃体脓肿切除术后抗生素治疗是必需的吗?
HNO. 2009 Mar;57(3):230-8. doi: 10.1007/s00106-008-1777-z.
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.