【摘要】 目的探讨扁桃体微创手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征(Obstructive Sleep Apnea Hypopnea Syndrome,OSAHS)的疗效。方法应用扁桃体微创手术对49例儿童OSAHS患者行扁桃体消融术或鼻甲减容术,通过对比术前和术后患儿的症状、体征以及多导睡眠监测(Polysomnography,PSG)数据的改善情况来评价手术疗效。结果 49例患儿的手术总有效率为83.7%。将患儿按病情严重程度分为轻、中、重组后,其有效率分别为90.0%,88.9%,66.7%(Hc=6.665,P<0.05)。术后患儿呼吸暂停低通气指数(Apnea-Hypopnea Index,AHI)与最低血氧饱和度(Sa O2)较术前改善(P<0.05),相应症状也得到改善。结论扁桃体微创手术是一种治疗儿童OSAHS安全、有效的方法。更多还原

【Abstract】 Objective The aim of this study was to explore the effect of minimally invasive tonsil surgery for the treatment of obstructive sleep apnea and hypopnea syndrome in children. Methods Minimally invasive surgery of tonsil was operated on 49 children diagnosed with OSAHS. The efficiency of the surgery was evaluated by comparing the symptoms of the children and PSG results before and after the surgery. Results After the surgery, the total effective rate was 83.7%. And the effective rate were 90.0%,88.9%, 66.7%(Hc=6.665, P<0.05) respectively when the children were divided in to mild group, moderate group and severe group according to the severity of their disease symptom. There was significant difference between the mean Apnea-Hypopnea Index(AHI) and mean lowest oxygen saturation value postoperatively(P<0.05) after surgery, so were the symptoms of the children.Conclusion Minimally invasive tonsil surgery is a safe and efficient cure for obstructive sleep apnea and hypopnea syndrome in children.更多还原