儿童阻塞性睡眠呼吸暂停低通气综合征的临床分析  

Clinical analysis of 93 cases obstructive sleep apnea-hypopnea syndrome in children

作　　者：王胜国 周本忠 兰兰 李龙巧 

机构地区：[1]解放军第105中心医院耳鼻咽喉科,合肥230031

出　　处：《安徽医学》2007年第2期107-109,共3页Anhui Medical Journal

摘　　要：目的探讨儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的治疗效果。方法回顾性分析术前经多导睡眠监测仪(polysomnography,PSG)确诊的93例儿童OSAHS,14例行双侧扁桃体挤切术,79例患儿行双侧扁桃体挤切术加腺样体刮除术,术后6～12个月行PSG复查。结果根据中华医学会耳鼻咽喉科学分会杭州会议OSAHS疗效评定标准进行评定,治愈57例(61.3%),显效27例(29%),有效9例(9.7%),无效0例。结论腺样体或(和)扁桃体肥大是儿童OSAHS的主要致病原因,腺样体切除术和扁桃体摘除术是最有效的治疗方式,疗效确切。Objective To study the curative effect of obstructive sleep apnea -hypopnea syndrome in children. Methotis 93 children were diagnosed as OSAHS with Polysomnography （PSG）, of them 14 cases were performed tonsillectomy, 79 cases were performed adenoidectomy and tonsillectomy. They were mornitored by PSG six to twelve months later after operation. Results According to criterion of Hangzhou conference. 57 cases were cured （61.3%）, 36 cases were effective （38.7%）. Conclusion The primary reasons of obstructive sleep apnea - hypopnea syndrome in children are tonsil and/or adenoid hypertrophy. The tonsillectomy and/or adenoidectomy are primary methods in treatment for children with OSAHS.

关 键 词：睡眠呼吸暂停 阻塞性 儿童 增殖体切除术 扁桃体切除术 多导睡眠描记术 

分 类 号：R766[医药卫生—耳鼻咽喉科]