扁桃体和腺样体切除治疗儿童鼾症的临床分析

Clinical Analysis of Tonsillectomy and Adenoidectomy in treating OSAHS in Children

目的:探讨扁桃体和腺样体切除术治疗儿童鼾症的临床疗效。方法:对采用扁桃体和腺样体切除术治疗的56例儿童鼾症患者的临床资料进行回顾性分析。结果:56病例均顺利完成了手术,术后张口呼吸、打鼾、睡眠憋气憋醒及呼吸暂停、头痛、鼻塞等症状均有不同程度的改善,其中痊愈47例(83.9%),有效9例(16.1%),无效0例,总有效率100%。结论:扁桃体和腺样体切除术可有效解除儿童鼻咽上呼吸道阻塞及狭窄,改善通气功能,是治疗儿童鼾症(OSAHS综合症)较为理想的方法,可明显缩短手术时间和住院时间,值得临床推广。

Objective： To discuss the clinical effects of tonsillectomy and adenoidectomy in treating the OSAHS in children. Methods：A retrospective analysis was made on clinical data of 56 cases treated with tonsillectomy and adenoidectomy, to summarize and analyze the operation method and clinical effects. Results ： The operations of tonsillectomy and adenoidectomy were successfully completed in 56 cases, among them 47 cases （83.9%） were cured, 9 cases （ 16. 1% ） were effective, and none were invalid, with 100% efficiency rate. After the operation, the symptoms of mouth breathing, snoring, waking up for short breath or apnea, headache and rhinobyon were much improved. Conclusion：The tonsillectomy and adenoidectomy could be an ideal therapy to the OSAHS, which could release the choke of the upper respiratory tract of nasopharynx and improve the ventilatory function and shorten the operation time and hospital stays. It is worth be- ing widely used.