中国耳鼻咽喉头颈外科2017，Vol.24Issue(3)：116-119,4.DOI:10.16066/j.1672-7002.2017.03.002
睡眠呼吸障碍儿童扁桃体及腺样体组织细菌学分析
Bacteriology of adenoids and tonsils in children with sleep-disordered breathing
黄振云 1刘大波 1钟华敏 2钟建文 1仇书要 1冯爽 1易新华1
作者信息
- 1. 广州市妇女儿童医疗中心耳鼻咽喉科,广州 广东510120
- 2. 广州市妇女儿童医疗中心检验科,广州 广东510120
- 折叠
摘要
Abstract
OBJECTIVE This study was conducted to analyze the underlying bacterial pathogens of the tonsils and adenoids in children with sleep-disordered breathing(SDB).METHODS The core tissue from the tonsils and/or adenoids of 163 SDB children was cultured aerobically. Of the 163 cases, 120 children underwent adenoidectomy and tonsillectomy simultaneously(A+T), 39 children underwent adenoidectomy(A) and 4 tonsillectom(T) only. 124 children who underwent tonsillectomy were subdivided into two groups based on history(with or without a history of recurrent tonsillitis). 71 children with the history were enrolled in the 'recurrent tonsillitis group' and 53 children without the history were enrolled in 'non- recurrent tonsillitis group'.RESULTS Of the total 120 cases who underwent A+T, 114(95.00%) cases had same distribution of bacteria detected in both sides in the same patient. Besides this, 17 cases in whom mixed organisms were identified in both sites shared common pathogen. No significant difference in the detection rates of staphylococcus aureus and haemophilus influenzae were found when we compared seasons(Tonsil:χ2=8.538,P=0.201; Adenoid:χ2=5.427, P=0.490). No significant difference in the type and detection rate of essential bacteria was found when we compared between "recurrent tonsillitis group" and 'non-recurrent tonsillitis group' (χ2=3.028,P=0.387).CONCLUSION The bacterial isolates from the tonsils and adenoids are virtually identical in type and detection rate in the same SDB patient. The bacterial distribution of the tonsillar and adenoidal core is unaffected by the seasonal variation and history of recurrent tonsillitis.关键词
儿童/细菌学/增殖腺/腺样体切除术/腭扁桃体/扁桃体切除术/睡眠呼吸障碍Key words
Child/Bacteriology/Adenoids/Adenoidectomy/Palatine Tonsil/Tonsillectomy/sleep disordered breathing引用本文复制引用
黄振云,刘大波,钟华敏,钟建文,仇书要,冯爽,易新华..睡眠呼吸障碍儿童扁桃体及腺样体组织细菌学分析[J].中国耳鼻咽喉头颈外科,2017,24(3):116-119,4.
