等离子刀联合微创手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征:50例分析  

Treatment of obstructive sleep apnea hypopnea syndrome in children by minimally invasive operation with plasma knife

作　　者：姚永兰[1] 朱颜香 杨立娟[1] 马国辉[1] 刘卫东[1] 董艳玲[1] 王曦光[1] 

机构地区：[1]廊坊市第四医院耳鼻喉口腔科,河北065700

出　　处：《中国急救复苏与灾害医学杂志》2008年第6期357-358,共2页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的探讨鼻、咽等离子刀联合微创手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效。方法50例OSAHS患儿,男32例,女18例,年龄3～14岁,接受腺样体、扁桃体或下鼻甲等离子刀微创手术治疗。术后14d、3个月、12个月门诊复诊,给予纤维鼻咽镜检查,评定手术效果。结果50例中痊愈46例(92%);4例(8%)好转,但仍有轻微鼾声。结论用等离子刀进行微创手术消融腺样体、扁桃体、下鼻甲,手术出血少、创伤轻,是治疗儿童OSAHS的良好方法。Objective To investigate the curative effects of treatment of obstructive sleep apnea hypopnea syndrome （OSAHS） in children by minimally invasive operation with plasma knife. Methods Fifty children with OSAHS, 32 male and 18 female, aged 3～14, underwent minimally invasive operation with plasma knife to ablate the adenoid , tonsil, or concha nasalis inferior. The patients were followed up 14 d, 3 months, and 12 months in the out-patient department to undergo fibroptic nasopharyngoscopy. Results 46 of the 50 pediatric patients （92%） recovered completely. Four of them （8%） still showed light snoring. Conc l us ion With less bleeding and slighter wound, minimally invasive operation with plasma knife is an effective treatment for OSAHS in children.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 微创手术 儿童 腺样体 扁桃体 下鼻甲 

分 类 号：R766.3[医药卫生—耳鼻咽喉科]