低温射频消融扁桃体与腺样体治疗儿童OSAHS的疗效观察  

Therapentic Effect of Tonsillectomy and Adenoidectomy by Temperature-controlled Radiofrequency Ablation in Children Obstructive Sleep Apnea Hypoprea Syndrome

作　　者：徐时乐[1] 胡建文[1] 陈伟军[1] 

机构地区：[1]浙江温州市第二人民医院耳鼻咽喉头颈外科,浙江温州325000

出　　处：《中国现代医生》2011年第31期55-57,共3页China Modern Doctor

摘　　要：目的探讨低温等离子射频消融扁桃体与腺样体肥大治疗儿童OSAHS的临床疗效和安全性。方法对2007年2月～2011年4月78例6～16岁符合OSAHS诊断标准的扁桃体和(或)腺样体肥大的儿童,行扁桃体和(或)腺样体低温等离子射频消融治疗,观察其疗效情况。结果所有病例中65例术后6个月复查PSG均提示AHI较术前明显降低,最低血氧饱和度较术前明显升高,差异有统计学意义(P<0.05)。结论低温等离子射频消融扁桃体和(或)腺样体治疗儿童OSAHS安全有效。Objective To explore the clinical effect and safety of temperature-controlled radiofrequeney ablation of tonsil and adenoids in the treatment of children obstructive sleep apnea hypoprea syndrome （ OSAHS ）. Methods From February 2007 to April 2011,78 patients with tonsil hypertrophy or adenoidal hypertrophy confirmed OSAHS were treated by temperature-controlled radiofrequency ablation of tonsil and/or adenoids, then to explore the clinical effect. Results Six months after the operation,65 of the 78 patients, the mean of apnea hypopnea index （ AHI ） and lowest oxygen saturation （ LSaO2 ） after the operation representing a marked improvement than per-operation.Ther e was significant difference （P 〈 0.05 ） between them. Conclusion The temperaturecontrolled radiofrequeney ablation of tonsil and/or adenoids is an effective and safe technique in the treatment of children OSAHS.

关 键 词：儿童OSAHS 扁桃体肥大 腺样体肥大 低温等离子射频消融 

分 类 号：R72[医药卫生—儿科]