腺样体低温等离子消融术联合扁桃体摘除术治疗儿童OSAHS的疗效观察

Low Temperature Coblation of Adenoid Combines With Dissection Tonsillectomy in Treatment of Children OSAHS

目的探讨腺样体低温等离子消融术联合扁桃体摘除术治疗儿童OSAHS的疗效。方法回顾分析23例儿童OSAHS患者,经过PSG（多导睡眠图）和电子鼻咽喉镜检查确诊,主要病因为腺样体肥大和扁桃体肥大,治疗采用腺样体低温等离子消融联合扁桃体摘除术。术后随访1年以上,再次行PSG和电子鼻咽喉镜检查评估疗效。结果 23例患儿术后随访12~24月,平均（18±5）个月,客观检查患儿术前术后平均AHI,OAI及LSa O2变化（P〈0.01）。结论 OSAHS儿童患者尤其是患腺样体肥大、扁桃体肥大者,行腺样体低温等离子消融术联合扁桃体摘除疗效极好,有效率达90%。

Objective To evaluate the effectiveness of combining low temperature coblation of adenoid with dissection tonsillectomy in the treatment of OSAHS.MethodsA retrospective study,including 23 children with OSAHS, whose diagnoses were made based on polysomnography （PSG） and laryngoscopy, was carried out. Al patients received low temperature coblation of adenoid and dissection tonsilectomy. After a folowing﹣up period over one year, these children received the same assessment methods mentioned above.ResultsA significant improvement was observed according to compare the AHI, OAI, LSaO2by pre-operation and post-operation with a folowing﹣up period from 12 months to 24 months.Conclusion Low temperature coblaton of adenoid combining with dissection tonsilectomy is safe and effective in the treatment of OSAHS.