Marshall T
Northamptonshire Health Authority, Northampton.
Br J Gen Pract. 1998 Jun;48(431):1331-5.
Tonsillectomy is most frequently carried out for recurrent throat infection, but there is uncertainty about its effectiveness. This paper reviews the evidence of its effectiveness obtained from a search of the Cochrane database and MEDLINE for randomized controlled trials comparing tonsillectomy with non-surgical management of recurrent throat infection. The results show that the effectiveness of a procedure such as tonsillectomy, needs to be considered in the light of its adverse effects. Attempts should be made to inform patients about the uncertainty surrounding the procedure.
扁桃体切除术最常用于复发性咽喉感染,但关于其有效性存在不确定性。本文回顾了通过检索Cochrane数据库和MEDLINE获取的关于扁桃体切除术有效性的证据,这些证据来自比较扁桃体切除术与复发性咽喉感染非手术治疗的随机对照试验。结果表明,像扁桃体切除术这样的手术的有效性需要结合其不良反应来考虑。应该努力让患者了解围绕该手术的不确定性。