Cernelc D, Kambic V, Povhe B, Cernelc P
Laryngol Rhinol Otol (Stuttg). 1981 Mar;60(3):104-8.
Authors studying the frequency of tonsillectomy and adenoidectomy (T&A) have found three times more operations in their country than in the U.S.A. The indication for operation is given by the general practitioner and pediatrician without previous sufficiently long treatment of the underlying disease. The cytological analyses of tonsillar tissues showed a highly active transformation and differentiation of immunologically competent cells and the phagocytes. A close negative correlation between the percentage of the immunologically competent cells and a close positive correlation between the percentage of phagocytes and the frequency of tonsillitis was calculated. The volume, consistency and adhesion of tonsils do not block the highly active transformation and differentiation of the lymphocytes in the tonsillar tissue. The percentage of T-lymphocytes was found to be significantly higher in hypertrophic tonsils, representing a mean value of the percentage of T-lymphocytes in the tonsils of 31 children. Furthermore, in the tonsils with adhesions there was a statistically significant higher percentage of B lymphocytes then in the tonsils which were free from adhesions.
研究扁桃体切除术和腺样体切除术（T&A）频率的作者发现，他们国家的此类手术数量是美国的三倍。手术指征由全科医生和儿科医生给出，而未对基础疾病进行足够长时间的前期治疗。扁桃体组织的细胞学分析显示，免疫活性细胞和吞噬细胞有高度活跃的转化和分化。计算得出免疫活性细胞百分比之间存在密切的负相关，吞噬细胞百分比与扁桃体炎频率之间存在密切的正相关。扁桃体的体积、质地和粘连情况并未阻碍扁桃体组织中淋巴细胞的高度活跃转化和分化。在肥大扁桃体中发现T淋巴细胞百分比显著更高，31名儿童扁桃体中T淋巴细胞百分比的平均值就是如此。此外，有粘连的扁桃体中B淋巴细胞百分比在统计学上显著高于无粘连的扁桃体。
