扁桃体部分切除术治疗儿童鼾症早期疗效的分析  

Early effect of tonsillotomy on children′s snoring with tonsil hypertrophy

作　　者：马祖霞[1] 王晓光[1] 董明福[1] 樊亚琴[1] 韩忠生[1] 税小波[2] 

机构地区：[1]遵义市第一人民医院耳鼻咽喉头颈外科,贵州遵义563002 [2]遵义市第一人民医院急诊科,贵州遵义563002

出　　处：《国际检验医学杂志》2016年第4期484-486,共3页International Journal of Laboratory Medicine

摘　　要：目的探讨Ellman双频射频机行扁桃体部分切除术治疗儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的早期疗效。方法对30例伴有扁桃体肥大的OSAHS患儿采用Ellman双频射频机行扁桃体部分切除,同期与30例伴有扁桃体肥大的OSAHS患儿行传统扁桃体全切术相对比,从创面出血、手术时间、伤口疼痛、进食困难、多导睡眠监测(PSG)检测、免疫功能、生长发育等方面分析行扁桃体部分切除术治疗儿童OSAHS的早期疗效。结果术后1周和6个月内,与传统扁桃体全切术相比,30例OSAHS患儿术后创面出血少,手术时间短,伤口疼痛轻,进食容易,打鼾减轻,无免疫功能下降,生长发育良好。结论Ellman双频射频机行扁桃体部分切除术治疗儿童OSAHS短期疗效好,是微创、安全、有效的治疗儿童OSAHS的手术方式。Objective To explore short-term effect of tonsillotomy on children′s obstructive sleep apnea hypopnea syndrome（OSAHS）with tonsil hypertrophy by Ellman double-frequency radio-frequency machine.Methods Totally 30 cases children′s OSAHS with tonsil hypertrophy were had tonsillotomy by Ellman double-frequency radio-frequency machine.They were compared with 30 cases children′s OSAHS with tonsil hypertrophy by traditional tonsillectomy.Short-term effect of tonsillotomy were analyzed by wound bleeding,operation time,postoperative pain,difficulty eating,PSG testing,immune function,growth and development.Results Postoperative symptom in 1weeks and 6months,compared with the traditional tonsillectomy,30 cases of OSAHS patients were found that there were less bleeding,shorter operative time,mild postoperative pain,no difficulty in feeding,improving sleep-disordered breathing,no decline in immune function,good growth and development.Conclusion Short-term effect of tonsillotomy on children′s OSAHS with tonsil hypertrophy is good by Ellman double-frequency radio-frequency machine,it is a minimally invasive,safe and effective surgical method children OSAHS.

关 键 词：扁桃体部分切除术 双频射频机 儿童 睡眠呼吸暂停低通气综合征 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]