Klimek L, Mösges R, Wein B, Schmelzer B, Kuth G
Department of ENT, Plastic Head and Neck Surgery, Medical Faculty, Aachen Technical University, Germany.
Acta Otorhinolaryngol Belg. 1993;47(4):439-42.
A prospective study was carried out to evaluate the sensitivity of sonography in the diagnosis of peritonsillar abscesses (quinsy). From 1986 to 1991 all cases of clinically doubtful peritonsillitis were subjected to B-Mode ultrasonography of the tonsils before tonsillectomy. 118 patients were examined. Sensitivity of the method in cases of clinically uncertain peritonsillar abscesses was 87%. The predictive value of the method was calculated to be 0.89; however only five false positive cases ("abscess" in ultrasound but no pus during surgery) were found. We therefore suggest that all patients suffering from questionable peritonsillitis should be examined by ultrasound. If abscess formation is suspected, surgical intervention is indicated. In all other cases I.V. antibiotics should be administered and control sonography should be carried out.
开展了一项前瞻性研究，以评估超声检查在诊断扁桃体周围脓肿（脓性扁桃体炎）中的敏感性。1986年至1991年期间，所有临床上疑似扁桃体炎的病例在扁桃体切除术前均接受了扁桃体的B超检查。共检查了118例患者。该方法在临床上不确定的扁桃体周围脓肿病例中的敏感性为87%。该方法的预测值经计算为0.89；然而，仅发现5例假阳性病例（超声显示“脓肿”但手术时未发现脓液）。因此，我们建议所有患有可疑扁桃体炎的患者均应接受超声检查。如果怀疑有脓肿形成，则应进行手术干预。在所有其他情况下，应静脉注射抗生素并进行超声复查。
