Schechter G L, Sly D E, Roper A L, Jackson R T
Laryngoscope. 1982 Jun;92(6 Pt 1):657-9. doi: 10.1002/lary.1982.92.6.657.
Changing trends in the treatment of peritonsillar abscess are demonstrated by this retrospective study of 74 patients treated from 1975 through 1980 by a standardized regimen. This included needle aspiration at three points, intravenous antibiotics, hydration, and pharyngeal douches. The patients ages ranged from 11 to 73 years. There were 45 males and 29 females. Needle aspiration was positive in 52 patients (70%) and repeat aspiration was necessary in 10% of patients. Tonsillectomy was performed in 42 patients. No recurrent peritonsillar abscesses occurred during the 1 to 5 year follow-up of the 32 patients who did not have tonsillectomy. Recurrent tonsillitis did occur in 4 of these patients and 3 of them had a past history of recurrent tonsillitis. The authors conclude that treatment of peritonsillar abscess should consist of needle aspiration, intravenous antibiotics and supportive measures. Interval tonsillectomy should be performed only when there is a history of recurrent tonsillitis or previous peritonsillar abscess.
这项对1975年至1980年期间采用标准化治疗方案治疗的74例患者的回顾性研究，展示了扁桃体周围脓肿治疗趋势的变化。治疗方案包括在三个点进行针吸、静脉注射抗生素、补液和咽部冲洗。患者年龄在11岁至73岁之间。其中男性45例，女性29例。52例患者（70%）针吸阳性，10%的患者需要重复针吸。42例患者接受了扁桃体切除术。在32例未接受扁桃体切除术的患者1至5年的随访中，未发生复发性扁桃体周围脓肿。其中4例患者确实发生了复发性扁桃体炎，其中3例有复发性扁桃体炎病史。作者得出结论，扁桃体周围脓肿的治疗应包括针吸、静脉注射抗生素和支持性措施。仅当有复发性扁桃体炎病史或既往扁桃体周围脓肿病史时，才应进行间隔扁桃体切除术。
