手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征80例

Surgery for pediatric obstructive sleep apnea hypopnea syndrome-A report of 80 cases

目的探讨腺样体切除术或(和)扁桃体切除术对于儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效,对效果不佳的原因进行分析、讨论。方法回顾性分析经腺样体切除术或(和)扁桃体切除术治疗的80例儿童OSAHS的临床表现、治疗方法和预后疗效。结果术后随访3个月时,治愈73例,显效5例,有效2例;术后随访6个月时,治愈72例,显效3例,有效2例,无效3例(其中肥胖患儿2例,脑瘫患儿1例),对无效的3例患儿给予减肥、戴呼吸机治疗,均取得满意效果。结论手术切除腺样体或(和)扁桃体是治疗儿童OSAHS的重要方法之一。对于治疗效果不佳的患儿应具体问题具体分析,采用个性化治疗,均可进一步提高疗效。

Objective To investigate the effect of adenoidectomy and/or tonsillectomy in the treatment of pediatric ob- structive sleep apnea hypopnea syndrome. Methods Clinical data of 80 children with obstructive sleep apnea hypopnea syndrome were analyzed retrospectively. Results 3 months after the operation, there were 73 cured cases, 5 effective cases, and 2 moderately effective cases. 6 months after the operation, there were 2 cured cases, 3 effective cases, 2 moderately effective cases, and 3 recurrence cases, including 2 obesity cases and 1 cerebral palsy case. The latter 3 ca- ses got improved after weight reduction and ventilation treatment. Conclusion Adenoidectomy and/or tonsillectomy are mainstays in the treatment of pediatric obstructive sleep apnea hypopnea syndrome. Individualized treatment accord- ing to the etiology can improve the therapeutic effects.