低温等离子射频治疗儿童阻塞性睡眠呼吸暂停低通气综合征的疗效分析

目的探讨低温等离子治疗儿童阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的临床特点及治疗效果。方法我院自2011年3月～2013年10月收治的55例儿童OSAHS患者,均在全麻下经鼻内镜行低温等离子腺样体切除术和（或）等离子扁桃体消融术。观察手术用时（包括切除用时和止血用时）、伪膜脱落时间、治疗效果及并发症等情况。结果：所有患儿手术用时平均33 min（切除用时15 min,止血用时17 min）;伪膜脱落时间平均15.6 d;术后随访6～12个月,症状消失49例,明显减轻6例,有效率100%,均无迟发性出血、粘连等并发症。结论低温等离子治疗儿童OSAHS具有疗效好、并发症少等优点,值得临床推广。

Analysis of therapeutic effect of coblation treatment of snoring disease in children

OBJECTIVE To analyze the therapeuticeffect of low temperature plasma ablation on snoring disease in children. METHODS Fifty-five children with snoring disease were treated by ablation of adenoid and/or tonsil in the general anesthesia in our hospital from March 2011 to October 2013. The operation time（including resection time and stop bleeding time）,pseudo membrane shedding time,therapeutic effect and complications were observed during and after operation. RESULTS The average operation time was 33 minutes（resection time was 15 minutes and stop bleeding time 17 minutes）;pseudo membranous shedding time was averaged 15.6 days;during the follow-up period of 6 to 12 months,the symptoms disappeared in 49 cases,obviously improved in 6 cases,the efficiency rate was 100%,There was no delayed complications such as bleeding,adhesion and so on. CONCLUSION The therapeutic effect of ablation treatment has the advantages of good effects,less complication and worth to apply in clinics.