内窥镜治疗儿童阻塞性睡眠呼吸暂停低通气综合征  

Endoscope-assisted adenoidectomy in children with obstructive sleep apnea-hypopnea syndrome

作　　者：马俊[1] 伍丽娟[1] 吴礼锋[1] 余良虎[1] 范畴[1] 

机构地区：[1]皖南医学院附属弋矶山医院耳鼻咽喉科,安徽芜湖241001

出　　处：《皖南医学院学报》2011年第1期43-45,共3页Journal of Wannan Medical College

摘　　要：目的：探讨内窥镜下治疗儿童阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的临床疗效。方法：对40例OSAHS患儿行内窥镜下刨削腺样体和（或）扁桃体切除术,术后随访观察6~12月;采用儿童阻塞性睡眠呼吸暂停疾病特异性生活质量调查表（OSA-18）对40例患儿分别进行术前4周和术后6~12个月的生活质量调查予以评价手术疗效;同时分析扁桃体和腺样体大小与OSA-18评分的关系。结果：OSAHS对25%患儿生活质量造成严重影响,术后约87.50%的患儿生活质量得到明显改善。手术前OSA-18评分与腺样体大小存在明显相关性。结论：内窥镜下刨削腺样体和（或）扁桃体切除对儿童OSAHS具有较好的临床疗效,且手术时间短,操作简单,并发症少,尤其适合儿童OSAHS的手术治疗。Objective：To evaluate the clinical effect of ednoscope-assisted adenoidectomy in children with obstructive sleep apnea-hypopnea syndrome（OSAHS）.Methods：Forty children of OSAHS underwent tonsillectomy and /or endoscope-assisted adenoidectomy and were followed up between 6 to 12 months after the operation.Pediatric OSA disease-specific Quality-of-Life Questionnaire（OSA-18） was used to evaluate the efficacy regarding the life quality of the patients 4 weeks before the surgery and 6 to 12 months after the procedure,apart from determination of the relationship between OSA-18 scores and ratio of adenoid-nasopharynx.Results：OSAHS severely affected 25% of the children with their quality of life,and yet,87.50% of them were improved greatly after the surgery.Still,the ratio of adenoid-nasopharynx was positively associated with the pre-operative scores by OSA-18.Conclusion：Tonsillectomy and/or endoscope-assisted adenoidectomy may be effective and recommended in treatment of children with OSAHS due to its shortened duration of the procedure,easy performance and fewer complications.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 内镜下腺样体刨削术 儿童 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]