Toh S-T, Yuen H-W, Goh Y-H
Department of Otolaryngology, Singapore General Hospital, Republic of Singapore.
J Laryngol Otol. 2007 Aug;121(8):775-8. doi: 10.1017/S0022215106003185. Epub 2006 Oct 11.
To determine the prevalence of tonsillar actinomycetes colonization in patients with and without recurrent tonsillitis and to study the association of this condition with recurrent tonsillitis and tonsillar hypertrophy.
A retrospective study of 834 patients who had undergone tonsillectomy for recurrent tonsillitis (group A) and for sleep-disordered breathing without a history of recurrent tonsillitis (group B).
The prevalence of tonsillar actinomycetes colonization was higher in patients who had undergone tonsillectomy for sleep-disordered breathing (44.1 per cent) than in patients who had undergone tonsillectomy for recurrent tonsillitis (33.3 per cent). The prevalence did not differ by sex or age of patient, although the occurrence rate was higher in the adult compared with the paediatric population. There was no statistically significant difference between the mean size of the tonsils removed in the two groups, and actinomycetes colonization did not affect tonsil size. Histopathological analysis of resected tonsils did not show active tissue infection.
The presence of actinomyces does not indicate active disease. We are of the opinion that, although actinomyces colonization is more prevalent in patients with sleep-disordered breathing, it does not contribute to tonsillar hypertrophy nor to recurrent tonsillitis.
确定有或无复发性扁桃体炎患者的扁桃体放线菌定植患病率，并研究这种情况与复发性扁桃体炎和扁桃体肥大之间的关联。
一项对834例因复发性扁桃体炎接受扁桃体切除术的患者（A组）和因睡眠呼吸障碍但无复发性扁桃体炎病史接受扁桃体切除术的患者（B组）的回顾性研究。
因睡眠呼吸障碍接受扁桃体切除术的患者中扁桃体放线菌定植患病率（44.1%）高于因复发性扁桃体炎接受扁桃体切除术的患者（33.3%）。患病率在患者的性别或年龄方面无差异，尽管与儿童人群相比，成人中的发生率更高。两组切除扁桃体的平均大小之间无统计学显著差异，且放线菌定植不影响扁桃体大小。对切除扁桃体的组织病理学分析未显示有活动性组织感染。
放线菌的存在并不表明存在活动性疾病。我们认为，尽管放线菌定植在睡眠呼吸障碍患者中更普遍，但它不会导致扁桃体肥大，也不会导致复发性扁桃体炎。
