Perkin R L
Prim Care. 1978 Dec;5(4):697-707.
Tonsillectomy and adenoidectomy is the definitive treatment for chronic tonsillitis and adenoid hypertrophy. It is most important to determine if the patient has chronic tonsillitis--a diagnosis that can only be made between acute attacks when the patient is clinically well. Decisions regarding the need for a tonsillectomy and adenoidectomy should be made only at this time and never during an episode of acute tonsillitis. Frequency of acute attacks should not by itself be the indication for surgery. The family physician who performs tonsillectomy and adenoidectomies has an opportunity to correlate the preoperative and postoperative clinical course of the patient with the findings at the time of surgery. In my experience, patients carefully selected for tonsillectomy and adenoidectomy on the basis of these criteria do benefit from the surgery, and the clinical improvement is sustained in the long-term follow up of these patients.
扁桃体切除术和腺样体切除术是慢性扁桃体炎和腺样体肥大的确定性治疗方法。确定患者是否患有慢性扁桃体炎至关重要——这一诊断只能在急性发作间歇期、患者临床状况良好时做出。关于是否需要进行扁桃体切除术和腺样体切除术的决定应仅在此时做出，绝不能在急性扁桃体炎发作期间做出。急性发作的频率本身不应作为手术指征。实施扁桃体切除术和腺样体切除术的家庭医生有机会将患者术前和术后的临床病程与手术时的发现进行关联。根据我的经验，基于这些标准精心挑选进行扁桃体切除术和腺样体切除术的患者确实能从手术中获益，并且在对这些患者的长期随访中临床改善得以持续。
