儿童扁桃体炎的有效治疗取决于对致病菌的了解。用扁桃体表面拭子做细菌培养不能可靠地预测间质内的病原菌。作者对97例儿童切除的扁桃体进行了细菌学研究,以了解扁桃体表面与间质的细菌学关系。扁桃体炎发作频度、扁桃体充血与否、陷窝有无残渣、手术指征等参数与表面细菌培养无明确联系。不充血的扁桃体表面与间质存在同一种病原菌者比充血扁桃体比例高;而充血扁桃体表面与间质同时存在多种病原菌的比不 Effective treatment of childhood tonsillitis depends on the understanding of pathogens. Bacterial culture with tonsil surface swabs can not reliably predict pathogens in the interstitium. The authors performed a bacteriological study of 97 children with tonsillectomy to understand the bacteriological relationship between tonsil surface and stroma. Tonsillitis frequency of attack, tonsil congestion or not, lacunae with or without residue, surgical indications and other parameters and the surface of bacterial culture no clear relationship. Congestive tonsil surface and interstitial existence of the same pathogen than hyperemic tonsil ratio is high; and congestive tonsil surface and interstitial exist simultaneously more than a variety of pathogens not