Abstract:
In this study, we describe the role of ultrasound in diagnosing pediatric peritonsillar abscesses (PTAs). A retrospective chart review was conducted on 54 children aged 4 to 17 years who had an ultrasound performed for suspected PTA. Based on ultrasound imaging, the patients were classified into 2 groups: PTA-positive (8, 14.8%) and PTA-negative (46, 85.2 %). Trismus was significantly associated with PTA (50% vs. 13%, P = .03). PTA-positive patients were more likely to be given steroids, be admitted, and have extended hospital stays (P = .04, .004, and .002, respectively). The 2 groups had no significant difference in computed tomography (CT) acquisition, surgical intervention, and return visits (P = .92, .17, and .97, respectively). Larger abscesses trended toward surgical treatment (P = .087). Ultrasound is an efficient diagnostic modality for suspected peritonsillar infections in children, with similar clinical outcomes for PTA-positive and PTA-negative groups.
摘要:
在这项研究中,我们描述了超声在诊断小儿扁桃体周围脓肿(PTAs)中的作用。对54名4至17岁的儿童进行了回顾性图表审查,这些儿童因怀疑PTA而进行了超声检查。基于超声成像,患者分为2组:PTA阳性(8,14.8%)和PTA阴性(46,85.2%).剑术与PTA显著相关(50%vs.13%,P=.03)。PTA阳性患者更有可能接受类固醇治疗,被承认,并延长了住院时间(分别为P=.04、.004和.002)。2组计算机断层扫描(CT)采集无显著差异,手术干预,和回访(分别为P=.92、.17和.97)。较大的脓肿倾向于手术治疗(P=0.087)。超声是儿童可疑扁桃体周围感染的有效诊断方式,PTA阳性和PTA阴性组的临床结果相似。