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为探讨扁桃体周脓肿的真正发病机理、感染途径,对连续诊治的131例扁周脓肿患者进行研究。其中83例患侧的扁桃体被切除,切除之扁桃体外侧面均平整。通过83例组织学观察,扁桃体上极表面既无扁桃溃破亦无脓瘘,邻接扁桃体上方之软腭粘膜下发现有感染及/或纤维化的小唾液腺(Weber腺),这些与扁桃体相邻的腺体在其他非扁周脓肿患者则显示正常形态与结构。从而认为扁桃体周围的化脓性感染可能与Weber腺有关,而非急性扁桃体炎。主张早期扁桃体切除术治疗扁周脓肿,目的在于获得充分引流。
In order to investigate the true pathogenesis of tonsillar abscess and the route of infection, 131 consecutive patients with flat abscess were studied. 83 of the affected tonsils were excised, and the lateral surface of the resected tonsil was flattened. Through the observation of 83 cases of histology, there was neither almond ulceration nor fistula on the surface of the amygdala. A small salivary gland with infection and / or fibrosis was found under the soft palate mucosa adjacent to the tonsil. These adjacent tonsils Glands in other patients with non-flat abscess showed normal morphology and structure. It is thought that the purulent infection around the tonsils may be related to the Weber gland rather than acute tonsillitis. Advocated early tonsillectomy for treatment of flat abscess, the purpose is to obtain adequate drainage.