儿童腺样体肥大合并阻塞性睡眠呼吸暂停综合征的手术治疗  

Surgical treatment of children with adenoidal hypertrophy combined with obstructive sleep apnea

作　　者：何植洲 罗天飞[1] 李卫红[1] 李金奇[1] 李小娇[1] 谢志雄[1] 

机构地区：[1]广东省肇庆市第二人民医院耳鼻喉科,广东肇庆526040

出　　处：《中国医药科学》2013年第14期193-194,共2页China Medicine And Pharmacy

摘　　要：目的探讨儿童腺样体肥大合并阻塞性睡眠呼吸暂停综合征(OSAS)的治疗方法及临床疗效。方法对2011年4月～2012年9月我院耳鼻喉科收治的36例阻塞性睡眠呼吸暂停综合征患儿资料进行回顾分析,术后回访6～12个月。结果 36例患儿均治愈,其中12例术后睡眠鼾声基本消失,无张口呼吸,憋醒及呼吸暂停等表现,24例憋醒,张口呼吸,呼吸暂停及睡眠打鼾等症状完全消失。术后回访6～12个月,无一例并发症且无一例复发。结论对于儿童腺样体肥大合并阻塞性睡眠呼吸暂停综合征患儿,鼻内镜下腺样体切除术治疗,临床疗效确切,值得进一步推广。Objective To explore the treatment method and clinical effect of adenoidal hypertrophy in children with obstructive sleep apnea syndrome （OSAS）. Methods 36 cases of children with obstructive sleep apnea were analyzed retrospectively by interview 6 -12 months after surgery,from April 2011 to September 2012 in ENT department of our hospital. Results 36 cases of patients were cured,12 cases of postoperative sleep snoring disappeared,no mouth breathing,arousal and apnea. 24 eases had arousal,mouth breathing,and sleep apnea and snoring and other symptoms disappeared eompletely. There was no ease of complication and recurrence. Conclusion Endoseopic adenoideetomy treatment for the adenoidal hypertrophy with obstructive sleep apnea syndrome,is worthy of further promotlon,and the effect is exact.

关 键 词：阻塞性睡眠呼吸暂停综合征 病因 鼻内镜下腺样体切除术 

分 类 号：R725.6[医药卫生—儿科]