Fujimoto M, Aramaki H, Takano S, Otani Y
Department of the Otorhinolaryngology, Tokyo Women's Medical College Daini Hospital, Tokyo, Japan.
Acta Otolaryngol Suppl. 1996;523:252-5.
The usual treatment for peritonsillar abscess (PTAs) in Japan is antibiotic therapy, drainage and incision followed by tonsillectomy several weeks later. This is a retrospective study of cases treated by immediate tonsillectomy (IT) for PTAs between January 1990 and February 1995 in our hospital. There were 119 cases, 94 male and 25 female, ranging in age from 14 to 76 years (average: 36.6). In all cases, we performed CT scan, which is the most reliable diagnostic method for PTAs. Five of the 119 cases were treated by IT under general anesthesia. All five were male and their ages ranged from 50 to 62 years (average: 56.2). Two patients had diabetes mellitus. Bacteriological study revealed alpha-Streptcoccus in 1 case, but the others showed no remarkable findings. Anaerobacteria were not found in any patient. IT under general anesthesia is preferable for advanced PTAs.
在日本，扁桃体周围脓肿（PTAs）的常规治疗方法是抗生素治疗、引流和切开，随后在几周后进行扁桃体切除术。这是一项对1990年1月至1995年2月期间在我院接受扁桃体周围脓肿即刻扁桃体切除术（IT）治疗的病例进行的回顾性研究。共有119例病例，男性94例，女性25例，年龄在14岁至76岁之间（平均：36.6岁）。在所有病例中，我们都进行了CT扫描，这是诊断扁桃体周围脓肿最可靠的方法。119例病例中有5例在全身麻醉下接受了即刻扁桃体切除术。这5例均为男性，年龄在50岁至62岁之间（平均：56.2岁）。2例患者患有糖尿病。细菌学研究显示1例为α-链球菌，但其他病例未发现明显异常。任何患者均未发现厌氧菌。对于晚期扁桃体周围脓肿，全身麻醉下的即刻扁桃体切除术更为可取。
