低温等离子扁桃体部分消融术在治疗儿童阻塞性睡眠呼吸暂停综合征中的应用  

Application of coblation treatment of partial tonsillectomy in the treatment of children with obstructive sleep apnea-hypopnea syndrome

作　　者：姜丽[1] 李玉茹[1] 

机构地区：[1]哈尔滨医科大学附属第一医院耳鼻喉科,黑龙江哈尔滨150001

出　　处：《哈尔滨医科大学学报》2017年第4期369-371,共3页Journal of Harbin Medical University

摘　　要：目的探讨低温等离子扁桃体部分消融术在治疗儿童阻塞性睡眠呼吸暂停综合征(OSAHS)中的治疗效果及应用前景。方法回顾性分析78例OSAHS患儿的临床资料,所有患儿主要阻塞病变为扁桃体及腺样体肥大,扁桃体无慢性炎症表现,应用低温等离子行扁桃体部分消融术及鼻内镜腺样体消融术。结果术中出血1~5 m L,无术中及术后并发症。随访6~12个月,所有患儿睡眠打鼾及张口呼吸均消失,扁桃体无再生及反复炎症发作。结论行低温等离子扁桃体部分消融术治疗儿童OSAHS微创、安全、有效,更个体化、人性化,是一种较好的治疗儿童OSAHS的手术方法,适合在临床广泛开展。Objective To investigate the therapeutic effect and application prospect of coblation treatment of partial tonsillectomy with obstructive sleep apnea-hypopnea syndrome （OS- AHS） in children. Methods The clinical data of 78 children with OSAHS were retrospective analysis. All children with primary obstructive lesions of the tonsils and adenoid hypertrophy, tonsil no chronic inflammation, the application of coblation treatment of partial tonsillectomy and endoscopic adenoid ablation. Results Intraoperative bleeding 1 -5 mL, no intraoperative and postoperative complications. All the patients were followed up for 6 to 12 months. All the children had no snoring and mouth breathing. There was no recurrence and recurrent inflamma- tion in the tonsils. Conclusion Coblation treatment of partial tonsillectomy is a safe and effec- tive method to treat OSAHS in children. It is widely suitable for clinical practice.

关 键 词：扁桃体部分消融术 低温等离子 儿童 睡眠呼吸暂停低通气综合征 扁桃体和腺样体肥大 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]