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扁桃体腺样体切除在美国一直是最多最常见的手术,由于这种手术对健康是否有益一直缺乏科学证据,过去15年对它的批评一直在增加。扁桃体和腺样体手术常见的指征是1、反复发作或慢性咽喉痛;2、肥大;3、反复发作的急性或慢性中耳炎。McCammon研究不同年龄上呼吸道感染的情况发现1—6岁有一个高峰。10岁以下的儿童易患中耳炎,最高发病率为6—18个月和4—6岁,由此可见扁桃体或腺样体手术在6岁以后减少。
Adenotyctoid tonsillectomy has been the most common and most frequent surgery in the United States, and criticism of it has been increasing over the past 15 years due to the lack of scientific evidence of the health benefits of such surgery. Common indications for tonsil and adenoid surgery are 1, recurrent or chronic sore throat; 2, hypertrophy; 3, recurrent episodes of acute or chronic otitis media. McCammon’s study of respiratory infections at different ages found a peak of 1-6 years. Children under the age of 10 are predisposed to otitis media, the highest incidence of 6-18 months and 4-6 years of age, showing tonsil or adenoid surgery after 6 years of age decreased.