Department of Otolaryngology, University of Texas-Medical Branch at Galveston, Galveston, TX 77555-0521, USA.
Pediatr Clin North Am. 2013 Aug;60(4):793-807. doi: 10.1016/j.pcl.2013.04.015. Epub 2013 Jul 3.
Adenotonsillectomy (AT) is one of the most common pediatric surgical procedures performed in the United States; more than 530,000 are performed annually in children younger than 15 years of age. AT was traditionally performed for recurrent tonsillitis and its sequelae but in recent times, sleep-disordered breathing/obstructive sleep apnea in children has emerged as the primary indication for surgical removal of adenoids and tonsils. The new guidelines used by clinicians to identify children who are appropriate candidates for AT address indications based primarily on obstructive and infectious causes.
腺样体扁桃体切除术（adenotonsillectomy，AT）是美国最常见的儿科手术之一；每年有超过 53 万名 15 岁以下的儿童接受该手术。AT 传统上用于治疗复发性扁桃体炎及其后遗症，但近年来，儿童睡眠呼吸障碍/阻塞性睡眠呼吸暂停已成为腺样体和扁桃体手术切除的主要适应证。临床医生用来确定适合 AT 的儿童的新指南主要根据阻塞和感染原因来确定适应证。
