扁桃体周围脓肿患者化脓期手术切除扁桃腺疗效分析.docVIP

扁桃体周围脓肿患者化脓期手术切除扁桃腺疗效分析 　　doi：10.3969/j.issn.1007-614x.2014.10.27 　　摘 要 目的：探讨PTA（扁桃体周围脓肿）患者于化脓期行扁桃腺切除术的临床疗效情况。方法：收治PTA患者76例，作为研究对象。随机分为试验组（n=38）和对照组（n=38）。对照组择期进行手术，试验组脓肿期进行手术。对比两组平均住院及手术时间、术中出血量、术后出血发生率等。结果：与对照组相比，试验组术中出血量更少、平均住院及手术时间更短，术后出血发生率更低（P0.01，P0.05），效果十分显著。结论：脓肿期行扁桃体切除术可有效减少术中出血量，缩减住院及手术时间，降低术后出血的发生概率。 　　关键词 化脓期 扁桃体周围脓肿 手术 疗效 　　Analysis of curative effect of surgical removal of the tonsils in maturation period of the patients with peritonsillar abscess 　　Lu Xuanhua 　　The peoples Hospital of Hechi City，Guangxi 547000 　　Abstract Objective：To investigate the clinical efficacy situation of surgical removal of the tonsils of the patients with PTA（peritonsillar abscess） in maturation period.Methods：76 patients with PTA were selected as the object of study.They were randomly divided into the experimental group（n=38） and the control group（n=38）.The control group underwent selective operation.The experimental group did operation in abscess stage.We compared the average hospitalization and operation time，amount of bleeding，postoperative bleeding rate of the two groups.Results：Compared with the control group，the experimental group bleeding less，the average hospitalization and operation time were shorter，and the postoperative bleeding rate was lower（P0.01，P0.05），the effect was very significant.Conclusion：We can effectively reduce the amount of bleeding，reduce hospitalization and the operation time，reduce the probability of occurrence of postoperative bleeding during the abscess stage to have tonsillectomy. 　　Key words Abscess stage；Peritonsillar abscess；Operation；Curative effect 　　PTA属临床常见耳鼻喉科疾病，PTA患者主要为成年人。PTA是指发生于扁桃体间隙的化脓性炎症。患者常经历蜂窝组织炎、扁桃体周围炎及脓肿3个阶段。PTA多继发于慢性扁桃体炎反复发作者及急性扁桃体炎患者。保守疗法治疗PTA临床疗效往往不佳，且易复发。手术疗法可在短期内治愈PTA，且能彻底根除疾病，防止疾病复发。合理选择手术方式对PTA的治疗具有重要意义。选取我院76例PTA患者作为研究对象，试验组于脓肿期进行手术，疗效显著，现报告如下。 　　资料与方法 　　2011年5月-2013年6月收治PTA患者76例，作为本试验的研究对象。其中所有患者均经MRI、B超或者穿刺病检确诊为PTA。随机将76例患者分为试验组38例和对照组38例。对照组，男21例，女17例；年龄19～65岁，平均（28.9±4.2）岁；病程4天～3年；均为单侧急性扁桃体感染。其中，左侧16