摘要
目的:探讨儿童阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)的手术治疗及术后疗效。方法:对29例阻塞性睡眠呼吸暂停低通气综合征的患儿,采用在鼻内镜辅助下低温等离子射频消融术治疗肥大的腺样体及手术切除肥大的扁桃体,观察其转归情况。结果:术后随访3～12个月93.1%患儿打鼾、憋气症状都有不同程度改善;无腺样体残留、无鼻咽粘连及鼻咽闭锁等并发症。结论:手术切除肥大的扁桃体及腺样体是治疗儿童OSAHS的主要手段。鼻内镜辅助下低温等离子射频消融术治疗肥大的腺样体具有直视下操作、病变切除彻底、疗效明显、安全性高、创伤小及并发症少等优点。
Objective;To evaluate the effect of temperature-controlled radiofrequency adenoidectomy in children of obstructive sleep apnea hypopnea syndrome. Methods：twenty-nine children with OSAHS were performed temperature-controlled radiofrequency adenoidectomy with assistance of nasal endoscopy and conventional tonsillectomy, the postoperative effect was observed. Results：All children were observed 3～ 12 months after surgery, the symptoms of snoring and respiratory distress were improved with different level in 93% patients; the complications such as residual of adenoid, nasal pharyngeal adherence and nasal pharyngeal atresia were not observed. Conclusions：Conventional tonsillectomy and adenoidectomy are the major methods in treating children with OSAHS. Temperature-controlled radiofrequency adenoidectomy with assistance of nasal endoscopy to ablate enlarged adenoid has some advantages such as operation in direct field, ablation the adenoid completely, obviously curative effect, high safety, less trauma and complications.
出处
《实用中西医结合临床》
2007年第4期3-4,共2页
Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine
