低温等离子刀辅助内镜下治疗大龄儿童阻塞性睡眠呼吸暂停低通气综合征的临床效果分析

Coblation Treatment of Temperature-controlled Radiofrequency-assisted Endoscopic in Elder Children with Obstructive Sleep Apnea-hypopnea Syndrome

目的比较低温等离子刀辅助内镜下切除腺样体和部分切除双扁桃体（A）和传统剥离法切除扁桃体、刮匙法刮除腺样体（B）的治疗大龄儿童阻塞性睡眠呼吸暂停低通气综合征（OSAHS）手术效果差异。方法 65例OSAHS的6~12岁患儿,其中32例采用A术式,33例采用B术式,采用t检验比较两组手术时间、术中出血量。患儿手术前及术后12个月采用多导睡眠监测（PSG）评估打鼾症状。结果等离子刀组的手术时间较传统手术组显著缩短,出血量较后者显著减少（均P〈0.01）,PSG监测结果显示两组在疗效上均为有效。结论低温等离子刀辅助内镜下切除腺样体和部分切除双扁桃体能显著缩短手术时间、减少出血量,术后疗效满意。

Objective To compare the outcomes of temperature-controlled radiofrequency-assisted endoscopic partial tonsillectomy and adenoidectomy（A） and conventional tonsillectomy and adenoidectomy（B） in elder children with obstructive sleep apnea-hypopnea syndrome（OSAHS）.Method 65 children（6-12 year old） with OSAHS are studied.There are 32 patients underwent A and 33 patients underwent B.Data of surgery time,bleeding volume were collected and analysed.Casesof OSAHS were monitored with polysomnography（PSG）,and the parameters obtained before operation and 12 months after operation were analyzed.Results Surgery times ofAare statistically shorter than those of B,bleeding volumes ofAare significantly less than those of B.Two groups are effective in curative effect.Conclusion Temperature-controlled radiofrequency-assisted endoscopicoperation can reduce bleeding volume and shorten surgery time and the effect is satisfactory.