扁摘の適応についての小児科医の意見—アンケート調査より

OPINIONS OF INDICATION FOR TONSILLECTOMY AMONG PEDIATRICIANS (FROM QUESTIONNAIRE)

　I．はじめに

　今日では扁桃炎の治療はもつぱら内科医や小児科医で行なわれているといつてよい。その理由として耳鼻科医が少ない，扁桃に免疫機能がある，薬物的治療が進歩した，扁桃炎が病巣感染となるなどが挙げられる。したがつて特に子どもの扁摘のぜひについては耳鼻科医と小児科医のそれぞれの臨床的経験に基づいた立場から意見の一致をみないことが少なくない。

　私は大阪府内科小児科医会の協力を得て，扁摘の適応について小児科医の立場からの意見，要望を知る機会を得たのでその集計結果を報告する。

　The present paper briefly described the resultsobtained by means of the questionnaire to 325 pediatricians, 272 in office and 53 in general hospital, asking their opinions of the indications for tonsillectomy.

　The majority of them took the conservative attitude on removal of the tonsils. And they answered that an adequate age to receive tonsillectomy should be above five to six years.

　With regard to the indication for the surgery, their attention was mainly given to the clinicalsymptoms such as recurrent acute tonsillitis, gross hypertrophy and infected tonsils related to swelling of the cervical lymphnodes or recurrent attacks of otitis media, and nephritis or rheumatic fever due to focal infection rather than findings obtained by physical examination.

　Finally, it was especially emphasized by many pediatricians that otolaryngologists should set the standadization of the proper indication for tonsillectomy.