睡眠呼吸障礙兒童中扁桃體/腺樣體大小與睡眠測試的關係

Relationship between tonsil/adenoid size and the frequency of respiratory event in sleep-related breathing disorders in children

目的主要通過測量扁桃體及腺樣體大小與睡眠測試的結果以瞭解扁桃體及腺樣體大小與OSAHS的相關性。方法對睡眠障礙兒童進行睡眠測試檢查(PSG),鼻咽側位片及扁桃體大小評估。結果扁桃體大小、腺樣體大小與OSAHS嚴重程度無明顯統計學差異(P>0.05)。OSAHS嚴重程度與年齡組無明顯統計學差異(P>0.05)。結論扁桃體、腺樣體大小、年齡組與OSAHS嚴重程度無相關性。

Objective The objective of this study is to evaluate the relationship between tonsil/adenoid size and the frequency of respiratory events in children with Obstructive Sleep Apnea(OSA).Methods Children are suspected with OSA,they undertook overnight PSG the lateral neck radiograph and physical examination.Results There was no statistical significant between the adenoid/tonsil size and severity of OSA(P>0.05).The size of adenoid and tonsil would not change with OSA children throughout their childhood.Conclusion Using AN ratio or visual examination of the tonsils to assess the severity in children with OSA is not accurate.Smaller pharyngeal lymphatic soft tissues did not imply a less severity of OSA and probably could not rule out the diagnosis of OSA.