摘要
目的 探讨扁桃体切除后再发扁桃体上间隙脓肿的发病机制和治疗方法。方法 扁桃体切除后再发扁桃体上间隙脓肿的患者32例，作穿刺确诊，术前给予足量抗生素，另加用5～10mg地塞米松，术中术野、解剖结构清楚，操作无障碍。32例均在穿刺后确诊，穿刺抽到脓后切开排脓。结果 随访15年7例，8年6例，7年5例，5年9例，2年5例，未再发扁桃体上间隙脓肿。结论 扁桃体切除后再发扁桃体上间隙脓肿，是机体抵抗力下降，咽部的致病茵感染了Weber’s腺，而引起该腺体及周围组织发炎，坏死，而形成脓肿。
Objective Discussion the pathogenesis and the treatment method of the tonsil gap abscess again after tonsil excision. Method Tonsil excision sends on again the tonsil the gap abscess patient 32 examples, makes the puncture to diagnose, before operation gives the full quantity antibiotic, adds separately with 5 -10mg dexamethasone, in the process of operation and the wild of operation, the dissection structure is clear, no barrier. 32 examples diagnose after the puncture, the puncture pulls out after the pus cuts open. Result Makes a follow -up visit 7 examples in 15 years,6 examples in 8 years,5 examples in 7 years,9 examples in 5 years,5 examples in 2 years,have not disend on again the tonsil the gap abscess. Conclusion Tonsil excision disends on again the tonsil the gap abscess after the tonsil excision, was the organism resistively drops, swallows to send the germ to infect Weber＇s gland, caused the gland and periphery organizes the inflammation, the necrosis, but formed the abscess.
