手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征  

Adenoidectomy and tonsillectomy for treatment of pediatric obstructive sleep apnea hypopnea syndrome

作　　者：李旭征[1] 张淑香[1] 原红艳[1] 刘平[1] 覃煜[1] 

机构地区：[1]武警医学院附属医院耳鼻咽喉科,天津300162

出　　处：《武警医学院学报》2009年第6期502-504,共3页Acta Academiae Medicinae CPAPF

摘　　要：【目的】探讨腺样体和(或)扁桃体切除术治疗儿童阻塞性睡眠呼吸暂停低通气综合征的疗效。【方法】阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apneahypopnea syndrome,OSAHS)患儿42例均在全麻下行腺样体和(或)扁桃体切除术,术后6个月至1年行多导睡眠监测。【结果】术后患儿均未出现感染、出血、急性呼吸道阻塞等并发症,术后睡眠打鼾、张口呼吸、遗尿症状均有明显改善。疗效评估,治愈24例(57.14%),显效12例(28.57%),有效6例(14.29%),无效0例。【结论】腺样体和(或)扁桃体切除术治疗儿童OSAHS效果良好。[Objective] To investigate the therapeutic effect of adenoidectomy and tonsillectomy for treatment of pediatric obstructive sleep apnea hypopnea syndrome （OSAHS） [Methods] Forty - two children with OSAHS underwent the adenoidectomy and/or tonsillectomy under general anesthesia . Preoperative and postoperative （6 to 12months later） parameters of polysomnograph were compared. The follow - up period was 6 to 12 months. [Results] Neither infection nor bleeding or postoperative acute obstruction occurred in all children. Snoring , anischuria and open - mouth breathing were all markedly improved. Patients showed cured in 24 cases （57.14%）, greatly improved in 12 cases （28.57%）, improved in 6 cases （14.29%） , and failed in 0 case. [Conclusions] adenoidectomy and/or tonsillectomy was an effective treatment for pediatric OSAHS.

关 键 词：睡眠呼吸暂停 儿童 腺样体切除术 扁桃体 多导睡眠监测 

分 类 号：R725.6[医药卫生—儿科]