Kurilin I A, Gorbachevskiĭ V N
Zh Ushn Nos Gorl Bolezn. 1976 Jul-Aug(4):57-63.
The condition of tonsils was studied in 9612 children of organized establishments aged up to 14 years. Diseases of the tonsils were found in 34.8% cases (simple hyperplasia in 35.6%, chronic tonsillitis in 64.4% cases). In 63.3% cases chronic tonsillitis was accompanied by tonsillar hypertrophy. In 84% cases it proceeded with signs of tonsillogenous intoxication. Lymphopharyngeal ring pathology was more often than not found in 7-14 year old children (44.6%). The authors discuss problems of pathogenesis, clinical course, diagnostics and treatment of lymphopharyngeal ring pathology in children. They suppose that tonsillar pathology in children is to be considered as a systemic disease, the leading role in its pathogenesis seems to belong to the total lymphoid system of the organism. Proceeding from the fact that the tonsils in children are of great functional importance as they take part in the formation of local and general defensive immunologic reactions of the organism, the authors consider that in children it is necessary to give preference to conservative methods in the treatment of chronic tonsillitis.
对9612名14岁及以下机构儿童的扁桃体状况进行了研究。在34.8%的病例中发现了扁桃体疾病（单纯性增生占35.6%，慢性扁桃体炎占64.4%）。在63.3%的病例中，慢性扁桃体炎伴有扁桃体肥大。在84%的病例中，其伴有扁桃体源性中毒症状。7至14岁儿童中，淋巴咽环病变较为常见（44.6%）。作者讨论了儿童淋巴咽环病变的发病机制、临床过程、诊断和治疗问题。他们认为儿童扁桃体病变应被视为一种全身性疾病，其发病机制中的主导作用似乎属于机体的整个淋巴系统。鉴于儿童扁桃体在机体局部和全身防御性免疫反应形成中具有重要功能，作者认为儿童慢性扁桃体炎的治疗应优先采用保守方法。
