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目的：探讨扁桃体周围脓肿的最佳治疗方案。方法108例确诊扁桃体周围脓肿患者，分为非创伤性治疗组、穿刺切开排脓组、脓肿期手术组及择期手术组四组。观察比较复发率、住院天数、疼痛持续时间，手术组患者另需比较手术时间、术中出血量、术后出血率、术后褪膜时间。结果非创伤性治疗组住院时间长，复发率高，仅适用于不能配合创伤性治疗患者。穿刺切开排脓组住院天数较短，与手术组比较复发率较高。穿刺切开排脓后局部行脓腔药物灌洗不能显著提高治疗效果。手术组比较择期手术术后褪膜时间延长，脓肿期手术患者住院天数较长。结论穿刺抽脓，脓肿期手术及择期手术均为治疗扁桃周围脓肿较为安全、可靠、有效的方法，脓肿期手术更具有术中出血来少，术后褪膜快等优点，可综合考虑患者情况后选择适当治疗方式。“,”Objective To find a more effective-therapy for peritonsillar abscesss.Methods 108 cases were divided into four groups,including expectant treatment group,puncture incision group,abscess stage operation group and time Selecting operation group. Comparing recurernce rate、length of hospital stay,pain time,operation time,time blooding after opertation、blooding rate after operation and remove film time. Results Length of hospital stay was longer and recurernce rate was higher of expectant treatment group . Length of hospital stay was shoter and recurernce rate was higher of puncture incision group than operation group, Length of hospital stay was longer of abscess stage operation group than that of time Selecting operation group. Remove film time was longer of selecting operation group than that of abscess stage operation group. Conclusion Puncture incision、abscess stage operation and time Selecting operation were effective methods of cureing peritonsillar abscesss.we could select appropria method according to patients conditions.