超声刀在治疗儿童阻塞性睡眠呼吸暂停低通气综合征中的应用  

Application of harmonic scalpel in children with obstructive sleep apnea and hyponea syndrome

作　　者：李军政 高翔 吴盖珍 陈莎 王洁 田文栋[2] 李湘平[2] 

机构地区：[1]东莞市第五人民医院耳鼻咽喉-头颈外科,广东东莞523900 [2]南方医科大学南方医院耳鼻咽喉-头颈外科,广东广州510515

出　　处：《山东大学耳鼻喉眼学报》2015年第1期1-4,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：广东省自然科学基金(10151051501000068)

摘　　要：目的探讨超声刀辅助下手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的可行性。方法将38例入选儿童OSAHS患者分为A、B两组,A组(18例)用超声刀辅助下手术,B组(20例)采用传统方法手术,对术中出血量、手术时间、术后疼痛程度、术后伤口愈合情况及术后出血等几个方面进行对照观察研究。结果术中出血量、手术时间及术后出血概率超声刀组较传统手术组明显减少,差异有统计学意义。超声刀术组与传统手术组在创面白膜生成及脱落时间、术后切口生长情况及术后疼痛方面差异无统计学意义。结论超声刀辅助手术治疗儿童OSAHS具有微创、安全及可行性等特点,是一种治疗儿童OSAHS较好的方法。Objective To investigate the effectiveness of harmonic scalpel assisted adenotonsillectomy in the treatment of children with obstructive sleep apnea and hyponea syndrome（OSA HS）.Method 38 cases of children with OSA HS were randomly divided into ultrasonic scalpel group （group A,18 cases）and control group （group B,20 cases）.The adenotonsillectomy was operated with harmonic scalpel in group A,but without in group B.The blood loss,the opera-tion time,postoperative pain,the condition of wounds were compared between the two groups.Results The operative blood loss,operation time,incidence of postoperative hemorrhage of the group A were much less than those of the group B,while no difference in postoperative pain and condition of wounds were noted between the two groups. Conclusion The application of harmonic scalpel in adenotonsillectomy for children with OSA HS is safe,efficient and feasible.

关 键 词：睡眠呼吸暂停 阻塞性 儿童 多导睡眠监测 扁桃体切除术 腺样体切除术 超声刀 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]