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目的探讨腺样体扁桃体切除及咽成形术治疗儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效。方法对162例OSAHS患儿行腺样体扁桃体切除及咽成形术94例,行扁桃体切除及咽成形术68例,术后半年行多导睡眠监测(PSG),随访1～2年。结果所有患儿术后睡眠打鼾、憋气、张口呼吸、学习效率低下等症状明显改善。疗效评估:治愈126例(77.78%),显效27例(16.6%),有效9例(5.56%),无效0例,总有效率100%。结论腺样体扁桃体切除及咽成形术可有效地解除儿童口咽部和鼻咽部的狭窄或阻塞,改善患儿上呼吸道通气状况,使睡眠时呼吸气流通畅,是治疗儿童OSAHS的有效手段。
Objective To investigate the effect of adenoid tonsillectomy and pharyngoplasty on obstructive sleep apnea-hypopnea syndrome (OSAHS) in children. Methods A total of 162 children with OSAHS underwent adenotonsillectomy and pharyngoplasty in 94 cases. Tonsillectomy and pharyngoplasty were performed in 68 cases. PSG was performed for six months after operation. The follow-up was 1 to 2 years. Results All children with postoperative sleep snoring, suffocation, mouth breathing, learning inefficacy and other symptoms improved significantly. Efficacy evaluation: cured 126 cases (77.78%), markedly effective in 27 cases (16.6%), effective in 9 cases (5.56%), ineffective in 0 cases, the total effective rate was 100%. Conclusion Adenoid tonsillectomy and pharyngeal angioplasty can effectively relieve stenosis or occlusion of oropharynx and nasopharynx in children, improve the ventilation of upper respiratory tract in children and make the respiratory airflow smooth during sleep, which is an effective method to treat OSAHS in children.