外科干预治疗小儿鼾症100例疗效观察  

Observation on curative effect of surgical intervention in the treatment of 100 cases of pediatric sleep apnea syndrome

作　　者：张强 

机构地区：[1]广东省东莞市第五人民医院,523900

出　　处：《中国实用医药》2017年第18期151-152,共2页China Practical Medicine

摘　　要：目的探讨鼻内镜下腺样体切除联合扁桃体切除术与传统腺样体切除联合扁桃体切除术两种外科干预治疗小儿鼾症的临床疗效。方法 100例小儿鼾症手术患儿,随机分为A组与B组,每组50例。A组采用鼻内镜下腺样体切除联合扁桃体切除术,B组采用传统腺样体切除联合扁桃体切除术。观察统计两组的疗效、术中出血量、手术时间及腺样体残留率。结果 A组的总有效率为96.0%,显著高于B组的80.0%,差异有统计学意义(P<0.05)。A组的术中出血量、腺样体残留率均明显优于B组,差异均有统计学意义(P<0.05)。A组的手术时间短于B组,但差异无统计学意义(P>0.05)。结论外科手术干预对小儿鼾症有着良好的效果,其中,鼻内镜下腺样体切除联合扁桃体切除术具有疗效优异、出血量少、腺样体残留率低的特点。Objective To explore the clinical curative effect of two surgical intervention of adenoidectomy under nasal endoscope combined with tonsillectomy and traditional adenoidectomy combined with tonsillectomy in the treatment of pediatric sleep apnea syndrome. Methods A total of 100 children with sleep apnea syndrome disease were randomly divided into group A and group B, with 50 cases in each group. Group A received adenoidectomy under nasal endoscope combined with tonsillectomy, and group received traditional adenoidectomy combined with tonsillectomy. Observation were made on curative effect, intraoperative bleeding volume, operation time and residual rate of adenoids in two groups. Results Group A had significantly higher total effective rate as 96.0% than 80.0% in group B, and the difference had statistical significance（P〈0.05）. Group A had obviously better intraoperative bleeding volume and residual rate of adenoids than group B, and the difference had statistical significance（P〈0.05）. Group A had shorter operation time than group B, but the difference had no statistically significant difference（P〉0.05）. Conclusion Surgical intervention shows good effect for pediatric sleep apnea syndrome, and combination of adenoidectomy under nasal endoscope and tonsillectomy has the advantages of excellent curative effect, less bleeding and low residual rate of adenoids.

关 键 词：鼻内镜下腺样体切除术 扁桃体切除术 小儿鼾症 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]