摘要
目的：探讨对扁桃体周围脓肿患者实施扁桃体切除的临床效果观察的术后处理和对策。方法：选取我院于2011年4月到2012年7月收治的行扁桃体切除术的扁桃体周围脓肿患者70例，行扁桃体切除术。结果：脓肿组术中平均出血量为（15．2±3．2）mL；术后创面感染的患者有4例，占5．7％；全身感染的患者有0例；术后出血的患者有4例，占5．7％。对照组术中平均出血量为（14．8±2．7）mL；术后创面感染的患者有4例，占5．9％；全身感染的患者有0例；术后出血的患者有3例，占4．4％。脓肿组术后出现败血症的患者有1例，占1．4％：肺炎的患者0例．占0％；肾炎的患者0例，占0％；颈淋巴炎的患者1例，占1．4％。对照组术后出现败血症的患者有2例，占2．9％；肺炎的患者1例，占1．5％；肾炎的患者0例，占0％；颈淋巴炎的患者1例，占1．5％。结论：扁桃体围周脓肿患者行扁桃体切除，风险低，极大地缩短了患者痛苦时间，实现脓肿切开引流和扁桃体切除在一次手术中完成，缩短病程病程短，降低治疗费用。该手术疗效好，复发率低，是治疗扁桃体周围脓肿的有效、适宜的方法。
Objectives：To study the observation of clinical effect and countermeasures of postoperative treatment on patients with peritonsiilar abscess receiving tonsil resection. Methods ： 70 patients with peritonsillar abscess receiving tonsil resection treated with tonsil resection in our hospital from April 2011 to July 2012 were selected. Results： As for group abscess, the average volume of bleeding was 15. 2±3.2mL. There were 4 patients with wound infection after operation accounting for 5. 7%, there was no case with systemic infection and there were 4 patients with postoperative hemorrhage accounting for 5. 7%. As for the control group, the average volume of bleeding was 14.8 ＋2. 7mL. There were 4 patients with wound infection after operation accounting for 5.9%, there was no case with systemic infection and there were 3 patients with postoperative hemorrhage accounting for 4.4%. As for group abscess, there was 1 patient occurring septicemia after operation accounting for 1.4% , there was no patient with pneumonia and nephritis accounting for 0%, and there was 1 case with cervical lymphadenitis accounting for 1.4%. As for the control group, there were 2 patients occurring septicemia after operation accounting for 2. 9%, there was I patient with pneumonia accounting for 1.5% , there was no case with nephritis accounting for 0% and there was 1 case with cervical lymphadenitis accounting for 1.5%. Conclusions ： Tonsil resection treating patients with peritonsillar abscess has low risk, can shorten the pain time of patients, makes abscess incision and drainage and tonsil resection finished in one operation, shorten the course of disease, reduce the treatment expense, and has good treatment effect and low recurrence rate, which is an effective and appropriate method to treat peritonsillar abscess.
出处
《成都医学院学报》
CAS
2012年第03Z期5-7,共3页
Journal of Chengdu Medical College
关键词
扁桃体周围脓肿
扁桃体切除
临床效果
术后处理
peritonsillar abscess
tonsil resection
clinical effect
postoperative treatment
