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扁桃体切除术的适应征在耳科和儿科医师间常有争论,许多儿科医生对扁桃体切除术持否定态度。对扁桃体切除术持异议者多数认为手术可能损害免疫功能。但免疫系统的成长过程在4岁时已经完成,而血清学的研究指出,儿童扁桃体切除术后并不影响导致常见感染的细菌及病毒抗体的滴度。最近的研究指出,反复感染产生的免疫抑制常可达显著的程度,慢性化脓性扁桃体炎
The indication for tonsillectomy is often debated between otologists and pediatricians, and many pediatricians are negative about tonsillectomy. Most dissenters for tonsillectomy believe that surgery may impair immune function. However, the growth of the immune system has been completed at the age of 4, and serological studies have shown that pediatric tonsillectomy does not affect the titer of bacterial and viral antibodies that cause common infections. Recent studies have shown that repeated immunosuppression can often reach a significant degree of immunosuppression, chronic suppurative tonsillitis