方法：在表面麻醉下切除肥大的扁桃体及腺样体组织，并给予围手术期精心护理。
Methods: Cutting hypertrophic tonsil and adenoid tissue under superficial anesthesia, offering perioperative nursing care.
组织病理学改变主要是基底细胞样细胞增生，向毛囊及皮脂腺导管分化。
Histopathologic change showed mainly that basal cell like cells hyperplasia and the cells differentiated to hair follicle and sebaceous gland ducts.
结论：合并分泌性中耳炎和增殖程度较重的腺样体组织中TLR4表达增强；
Conclusions:There were stronger expressions of TLR4 in the heavier adenoid hypertrophy and in combined with OME.
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