Okafor B C
Acta Otolaryngol. 1983 Nov-Dec;96(5-6):517-22. doi: 10.3109/00016488309132739.
The records of 627 patients with inflammatory disease of the tonsils and 310 patients undergoing dissection tonsillectomy are analysed. The majority of the tonsil population in our study group are adults, and there is a high incidence of rheumatic fever and rheumatic heart disease. The study population is apt to receive treatment, including attempts at surgery, from highly untrained personnel with serious attendant morbidity and some mortality. Dissection tonsillectomy under general endotracheal anaesthesia has been found effective and safe with acceptable morbidity and no mortality. It is suggested that less stringent criteria for tonsillectomy are appropriate in developing countries with the same pattern of inflammatory disease of the tonsils.
对627例扁桃体炎性疾病患者和310例行扁桃体剥离术患者的记录进行了分析。我们研究组中的大多数扁桃体患者为成年人，风湿热和风湿性心脏病的发病率很高。该研究人群易于接受来自训练严重不足人员的治疗，包括手术尝试，随之而来的是严重的发病率和一些死亡率。已发现全身气管内麻醉下的扁桃体剥离术有效且安全，发病率可接受且无死亡病例。有人提出，在扁桃体炎性疾病模式相同的发展中国家，采用不太严格的扁桃体切除术标准是合适的。
