【摘要】 目的 CO₂激光扁桃体部分切除术治疗儿童阻塞性睡眠呼吸暂停综合征（OSAS）的临床效果。方法 将我科84例接受手术治疗的OSAS患儿分为观察组和对照组各42例。在CO₂激光辅助下，观察组采用扁桃体部分切除术治疗，对照组行扁桃体全切除术治疗。比较两组患者的临床治疗效果、术中出血量及术后出血率、术后疼痛情况、术后普食恢复时间、术后随访6个月后复发、感染及咽干不适等情况。结果 观察组患儿的治疗有效率与对照组相当，差异无统计学意义（P>0.05）。相比对照组，观察组患儿的手术时间更短、术中失血量更少、第1d及3d术后疼痛评分更低、可更快的恢复普食，差异具有统计学意义（P<0.05）。对照组术后出血的比例高于观察组，差异有统计学意义（P>0.05）。两组患儿随访6个月后复发、感染、咽干不适情况对比差异无统计学意义（P<0.05）。结论 CO₂C激光辅助扁桃体部分切除术治疗儿童OSAS的临床疗效确切，术中出血更少，术后疼痛评分及术后出血率更低，有利于术后更快恢复，值得临床应用推广。更多还原

【Abstract】 Objective To investigate the clinical effect of CO₂laser assisted tonsillotomy in the treatment of children with obstructive sleep apnea syndrome（OSAS）. Methods A total of 84 children with OSAS who received surgical treatment in our department were divided into the observation group and the control group, 42 cases in each group. The observation group received tonsillotomy treatment by CO₂laser, while the control group received tonsillectomy treatment. The clinical therapeutic effect,intraoperative blood loss and postoperative bleeding rate, postoperative pain, postoperative recovery time of general diet, recurrence,infection and discomfort of pharynx during postoperative follow-up for half a year were compared between the two groups. Results The effective rate of the observation group was similar to that of the control group（P>0.05）. Compared with the control group, the children in the observation group had shorter operation time, less intraoperative blood loss, lower postoperative pain scores on the first and third days, and faster resumption of general diet, the differences were statistically significant（P<0.05）. The proportion of postoperative bleeding in the control group was higher than that in the observation group（P<0.05）. There was no significant difference in recurrence, infection and dry throat discomfort between the two groups after 6 months of follow-up（P>0.05）. Conclusions The clinical treatment efficacy of CO₂laser assisted tonsillotomy in the treatment of children with OSAS is definite, with less intraoperative bleeding, lower postoperative pain score and postoperative bleeding rate, which is conducive to faster postoperative recovery and is worthy of clinical application and promotion.更多还原