手术治疗摩洛哥儿童睡眠呼吸障碍的临床研究

Clinical Study of Endoscopic Adenoidectomy in Treatment of Pediatric Sleep Disordered Breathing in Morocco

目的:观察鼻内镜下腺样体切除术或联合扁桃体切除术对摩洛哥儿童睡眠呼吸障碍的疗效,探讨儿童睡眠呼吸障碍治疗的手术适应症。方法:136例病例分成2组,治疗组85例睡眠呼吸障碍伴慢性扁桃体炎、或扁桃体Ⅲ°肥大的儿童,行鼻内镜下腺样体切除加扁桃体切除术;对照组51例睡眠呼吸障碍伴单纯扁桃体扁桃体Ⅱ°肥大的儿童,采用鼻内镜下腺样体切除,术后随访3个月。结果:治疗组总有效率为100%(85/85),对照组84.31%(43/51),差异有统计学意义(P<0.05);两组患儿的Conners儿童行为量表评分较术前明显下降,差异有统计学意义(P<0.05)。结论:鼻内镜下腺样体切除术联合扁桃体切除术,明显改善患儿睡眠和呼吸,生活质量明显提高,是治疗摩洛哥儿童睡眠呼吸障碍的一线治疗方案。

Objective：To observe the clinical effect of endoscopic adenoidectomy or Combined with tonsillectomy in treatment of pediatric sleep disordered breathing（SDB ）,and explore the surgical indications of pediatric SDB in morocco. Methods： 136 cases were separated into two groups, the treatment group （85 cases） of pediatric SDB with chronic tonsillitis or tonsill Ⅲ° hypertrophy,were operated by endoscope-assisted adenoidectomy combined with tonsillectomy, the control group （51 cases） of pediatric SDB with tonsill Ⅱ° hypertrophy simply, were operated by endoscope-assisted adenoidectomy. The two groups were followed up for 3 months. Results： The total effective rate of the treatment group was 100% （85/85）, while the control group was 84.31% （43/51）, the difference was statistically significant （P 〈0.05）. Two groups＇ Conners behavior rating scale significantly decreased than those before operated, the difference was statistically significant（P〈0.05）. Conclusion： Endoscopic Adenoidectomy combined with tonsillectomy offers significant improvements in children＇ sleep and breathing, children quality of life improved significantly, making it a valuable first-line treatment for pediatric SDB in Morocco.