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本文推荐扁桃体周围脓肿(PA)急性期采取穿刺抽脓等保守措施,待脓肿消散后4～6周,方考虑对既往有扁桃体炎或PA病史者作预防性扁桃体摘除术。治疗方法:门诊行PA穿刺抽脓,穿刺部位为以下三点:①扁桃体上区;②扁桃体下区,位于磨牙后三角正上方;③上述两点连线的中点,相当于下颌支的内侧。穿刺深度为1～3 cm。住院者输液、应用抗生素(通常用青霉素)、给镇痛药,每4小时用温盐水冲洗咽部一次。作者于1975～1980年间共治疗103例PA患者,能够随访的74例中,男45例,女29例。25岁以下38例,53%有扁桃体疾病史;26～40岁15例,47%有既往史;40岁以上21例,有既往史者
This article recommends the conservative treatment of perianal abscess (PA) taken during the acute phase of puncture and pus, until the abscess dissipated 4 to 6 weeks, consider the side of the history of tonsillitis or PA history as a preventive tonsillectomy. Treatment: Outpatient PA puncture pus, the puncture site for the following three points: ① tonsil area; ② under the tonsils, located in the triangle above the molars; ③ midpoint of the above two connections, the mandibular branch is equivalent to the medial . Puncture depth of 1 ~ 3 cm. Hospitalized infusion, the use of antibiotics (usually penicillin), to analgesics, every 4 hours with warm saline rinse the pharynx once. A total of 103 PA patients were treated in 1975-1980. Of the 74 patients who were followed up, 45 were men and 29 were women. Thirty-five patients under 25 years old, 53% had a history of tonsil disease; 26 to 40 years in 15 cases, 47% had a history of past; 40 years of age in 21 cases, with a past history