扁桃体周围脓肿的治疗和病理观察

Treatment and pathological investigation of peritonsillar abscess

本文分析 153例扁桃体周围脓肿的临床治疗过程 ,治疗方法包括广谱抗生素 ,反复针穿刺排脓及扁桃体摘除术。 153例中经穿刺排脓治愈者 79例 (51.6 % ) ;最后行扁桃体摘除术者 72例(4 7.1% )。对 56例扁桃体周围脓肿的扁桃体进行病理观察 ,发现扁桃体周围脓肿的扁桃体中 Weber's腺普遍呈萎缩表现 ,提示扁桃体周围脓肿发病机理可能与 Weber's腺感染有一定关系。

One hundred fifty three patients with peritonsillar abscess were treated in our department from 1992 to 1998.There were 80 males and 73 females,ranging in age from 13 to 73 years old.The treatment methods were included antibiotics drugs,repeated needle aspiration versus incision and drainage and tonsillectomy.Results showed that 79 cases cured by needle aspiration (79/153,51.6%) and the rate of tonsillectomy was 47.1% (72/153).The study of pathology in 56 cases were whowed that the Weber's glands were atrophy appear which suggested that there have a relationship between peritonsillar abscess and Weber's glands infection.The mechanism of peritonsillar abscess was discussed in this paper.