扁桃体腺样体切除对儿童阻塞性睡眠呼吸暂停低通气综合征术后免疫功能的影响

Tonsillectomy and adenoidectomy in children with obstructive sleep apnea hypopnea syndrome postoperative immune function influence

儿童阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea hypopnea syndrome,OS-AHS）是一种在儿童中较为常见的呼吸道阻塞性疾病,常常会影响儿童的智力以及体格发育。对于伴有扁桃体反复发炎以及夜间睡眠呼吸暂停的OSAHS患儿,扁桃体和腺样体切除术是最有效的治疗方法。本文就扁桃体、腺样体的功能及其手术切除后OSAHS患儿机体免疫功能的变化及影响作一综述。

Sleep apnea hypopnea syndrome is a common respiratory tract obstructive disease in children,which often affects children＇s mental and physical development.For repeated tonsil inflammation and nocturnal sleep apnea in children with OSAHS,tonsillectomy and adenoidectomy is the most effective treatment.But children＇s postoperative immune function remain in dispute,this review focuses on immunologic function change and influence in the OSAHS children after tonsillectomy and adenoidectomy,according to the existing research results can be confirmed.The immune parameters in OSAHS children who had tonsillectomy and adenoidectomy will vary differently after a short period of several,considering these manifestations are the stress response after operation,and its long-term immune parameters can recover to the normal level.Thus,the postoperative immune function of OSAHS with tonsillitis in children after the adenoid and tonsil resection has no negative effects,providing theory basis for clinician＇s treatment for clinicians to parents of children with answers to questions provide the theory basis.