【摘要】 目的比较低温等离子消融术与鼻动力切割术治疗儿童阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的短期疗效。方法选择在我院行手术治疗的OSAHS患儿84例,随机分为对照组和观察组,每组42例。对照组行鼻动力切割术,观察组行低温等离子消融术,比较两组患儿的手术情况。术后6个月复查,比较两组患儿的呼吸暂停低通气指数（AHI）、最低动脉血氧饱和度（LSaO₂）、生活质量、临床疗效及并发症发生情况。结果观察组患儿的手术时间明显长于对照组,术中出血量则少于对照组,术后并发症发生率亦低于对照组（P<0.01或0.05）;术后6个月,两组患儿的AHI、LSaO₂及生活质量评分均较术前明显改善（P<0.01）,但术后两组患者上述指标及治疗效果的差异无统计学意义（P>0.05）。结论低温等离子消融术与鼻动力切割术治疗OSAHS的疗效相当,均能有效改善患儿症状,但低温等离子消融术术中出血量少,术后并发症少,能够减轻手术对患儿机体的影响,安全性更高。更多还原

【Abstract】 Objective To compare the short-term effect of radiofrequency ablation and nasal excision in the treatment of obstructive sleep apnea hypopnea syndrome（OSAHS） in children. Methods 84 cases of OSAHS having received operations in our hospital were randomly divided into the Control Group and the Observation Group, 42 cases in each group. The Control Group underwent nasal excision while the Observation Group underwent radiofrequency ablation. The operations of the two groups were compared. The two groups were compared in terms of the AHI, LSaO₂, quality of life, clinical efficacy and the postoperative complications six months after operation. Results The Observation Group had the operation time significantly longer than the Control Group, the intraoperative blood loss less than the Control Group and the incidence of postoperative complications lower than the Control Group（P<0.01 or 0.05）; six months after operation, the AHI, LSAO₂ and quality of life of the two groups were significantly improved（P<0.01）, but there was no statistical difference between the two groups in terms of various indicators and quality of life（P>0.05）. Conclusion Radio frequency ablation and nasal excision has an equivalent efficacy in the treatment of OSAHS and all can improve the symptoms of the sick children, but radiofrequency ablation has less blood loss during the operation and less postoperative complications, can reduce the influence of the surgery on children and is more secure.更多还原