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目的:探讨内窥镜下治疗儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的临床疗效。方法:对40例OSAHS患儿行内窥镜下刨削腺样体和(或)扁桃体切除术,术后随访观察6~12月;采用儿童阻塞性睡眠呼吸暂停疾病特异性生活质量调查表(OSA-18)对40例患儿分别进行术前4周和术后6~12个月的生活质量调查予以评价手术疗效;同时分析扁桃体和腺样体大小与OSA-18评分的关系。结果:OSAHS对25%患儿生活质量造成严重影响,术后约87.50%的患儿生活质量得到明显改善。手术前OSA-18评分与腺样体大小存在明显相关性。结论:内窥镜下刨削腺样体和(或)扁桃体切除对儿童OSAHS具有较好的临床疗效,且手术时间短,操作简单,并发症少,尤其适合儿童OSAHS的手术治疗。
Objective: To investigate the clinical efficacy of endoscopic treatment of childhood obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods: Forty children with OSAHS underwent endoscopic gonorrhea and / or tonsillectomy. The patients were followed up for 6-12 months. The OSA -18) evaluated 40 cases of children with preoperative 4 weeks and 6 to 12 months postoperative quality of life were evaluated surgical efficacy; at the same time analyze the relationship between tonsil and adenoid size and OSA-18 score. Results: OSAHS had a serious impact on the quality of life in 25% of children, and about 87.50% of children had marked improvement in their quality of life after operation. There was a significant correlation between OSA-18 score and adenoid size before surgery. Conclusions: Endoscopic planing of adenoid and / or tonsillectomy has good clinical efficacy in children with OSAHS. The operation time is short, the operation is simple, and the complication is less. It is especially suitable for the surgical treatment of OSAHS in children.