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扁桃体周围脓肿扁桃体切除术或间隔期扁桃体切除术——一项前瞻性随机试验。

Quinsy tonsillectomy or interval tonsillectomy--a prospective randomised trial.

作者信息

Fagan J J, Wormald P J

机构信息

Department of Otorhinolaryngology, Groote Schuur Hospital, Cape Town.

出版信息

S Afr Med J. 1994 Oct;84(10):689-90.

PMID:7839259
Abstract

Fifty-one patients with peritonsillar abscesses were randomised to undergo either quinsy tonsillectomy (QT) or interval tonsillectomy (IT), and the two groups were compared. The QT group lost fewer (10.3 v. 17.9) working days and less blood during the operation (158.6 ml v. 205.7 ml); haemostasis was easier and the operation was technically simpler in this group. There was no significant difference in length of hospital stay and neither group had intra- or postoperative complications. Only 64% of the IT group returned for tonsillectomy. In this study QT had distinct advantages over drainage and IT in the management of peritonsillar abscesses.

摘要

51例扁桃体周围脓肿患者被随机分为两组,分别接受扁桃体周围脓肿扁桃体切除术(QT)或间隔扁桃体切除术(IT),并对两组进行比较。QT组的工作日损失较少(10.3天对17.9天),术中出血量也较少(158.6毫升对205.7毫升);该组止血更容易,手术技术上更简单。两组住院时间无显著差异,且两组均无术中或术后并发症。IT组只有64%的患者返回接受扁桃体切除术。在本研究中,QT在扁桃体周围脓肿的治疗中比引流和IT具有明显优势。

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