低温等离子射频治疗儿童阻塞性睡眠呼吸暂停低通气综合征768例研究  

A retrospective study of 768 coblation treatment in children with obstructive sleep apnea-hypopnea syndrome

作　　者：李大伟[1] 张庆丰[1] 宋伟[1] 

机构地区：[1]大连市中心医院耳鼻咽喉头颈外科,辽宁大连116033

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第7期453-454,458,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：总结分析儿童阻塞性睡眠呼吸暂停低通气综合征（OSAHS）低温等离子射频治疗的手术方法及临床疗效。方法：回顾性研究经低温等离子射频治疗的768例OSAHS患儿,单纯扁桃体切除39例,单纯腺样体切除192例,扁桃体全部切除＋腺样体切除243例,扁桃体部分切除＋腺样体切除294例,总结分析其临床疗效、术后并发症及术前术后睡眠监测结果。结果：创面假膜脱落时间为术后10~14d,11例患儿术后1周出现扁桃体窝继发出血,21例患儿术后半年舌根及咽后壁淋巴组织代偿性增生,术后睡眠打鼾、憋气及张口呼吸症状均有不同程度改善,经不同术式治疗的OSAHS患儿术后3个月的睡眠监测结果较术前均有明显改善,差异具有统计学意义（P〈0.01）。结论：低温等离子射频是治疗儿童OSAHS行之有效的方法,对于腺样体和扁桃体的处理,可根据患儿不同情况选择不同术式,对于合并分泌性中耳炎鼓室积液的患儿,可行鼓膜穿刺术。Objective： To investigate the therapeutic effects of 768 coblation treatment in children with ob- structive sleep apnea-hypopnea syndrome. Method： A review of 768 coblation treatment in children with obstructive sleep apnea-hypopnea syndrome was presented with respect to the sleep monitoring results, therapeutic effects and complications. Result：The time of pseudomembrane ablate was 10--14 d after operation. There were 11 patients occurred Secondarily bleeding within 1 week and 21 patients lymphatic tissue hyperplasia compensatorily within half a year after operation. After operation 3 months, the sleep Monitoring results were improved remarkably （P〈0.01）and the symptoms of snore and choke improved. Conclusion： Coblation treatment in children with ob- structive sleep apnea-hypopnea syndrome can reduce bleeding volume and improve obstruct syndrome apparently. The treatments of tonsils and adenoids differ with the characteristics of children and tympanotomy was fit for chil- dren with secretory otitis media.

关 键 词：低温等离子射频 儿童 睡眠呼吸暂停低通气综合征 阻塞性 

分 类 号：R563.8[医药卫生—呼吸系统]