Division of Pulmonary and Sleep Medicine, Children's Mercy Hospital, Kansas City, Missouri.
Division of Pediatric Otolaryngology, Children's Hospital Colorado, Aurora3Department of Otolaryngology, University of Colorado School of Medicine, Aurora.
JAMA Pediatr. 2015 Dec;169(12):1155-61. doi: 10.1001/jamapediatrics.2015.2016.
Adenotonsillectomy is one of the most common surgical procedures performed in children, with more than half a million procedures performed annually. We provide a review of the procedure, including indications, contraindications, perioperative issues, and current controversies. A more in-depth discussion of indications for sleep-disordered breathing and recurrent throat infections is performed. We provide a reasonable approach to these conditions for the general pediatrician. Finally, we discuss selected areas of current controversies: the role of preoperative polysomnogram, postoperative weight gain, and effects on immune function.
腺样体扁桃体切除术是儿童最常见的手术之一，每年有超过 50 万例手术。我们提供了对该手术的回顾，包括适应证、禁忌证、围手术期问题和当前的争议。对睡眠呼吸障碍和复发性喉咙感染的适应证进行了更深入的讨论。我们为普通儿科医生提供了这些疾病的合理处理方法。最后，我们讨论了当前争议的一些领域：术前多导睡眠图的作用、术后体重增加和对免疫功能的影响。
