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| 手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征80例 | |
| 引用本文： | 万京明. 手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征80例[J]. 山东大学耳鼻喉眼学报, 2013, 27(1): 10-11. DOI: 10.6040/j.issn.1673-3770.0.2012.120 |
| 作者姓名： | 万京明 |
| 作者单位： | 莱芜市人民医院耳鼻喉科， 山东 莱芜 271100 |
| 摘 要： | 目的 探讨腺样体切除术或(和)扁桃体切除术对于儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效，对效果不佳的原因进行分析、讨论。方法 回顾性分析经腺样体切除术或(和)扁桃体切除术治疗的80例儿童OSAHS的临床表现、治疗方法和预后疗效。结果 术后随访3个月时，治愈73例，显效5例，有效2例；术后随访6个月时，治愈72例，显效3例，有效2例，无效3例(其中肥胖患儿2例，脑瘫患儿1例)，对无效的3例患儿给予减肥、戴呼吸机治疗，均取得满意效果。结论 手术切除腺样体或(和)扁桃体是治疗儿童OSAHS的重要方法之一。对于治疗效果不佳的患儿应具体问题具体分析，采用个性化治疗，均可进一步提高疗效。 |
| 关 键 词： | 睡眠呼吸暂停 阻塞性；儿童；腺样体切除术；扁桃体切除术；治疗结果 |
| 收稿时间： | 2012-04-10 |
Surgery for pediatric obstructive sleep apnea hypopnea syndrome-A report of 80 cases |
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| WAN Jing-ming. Surgery for pediatric obstructive sleep apnea hypopnea syndrome-A report of 80 cases[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2013, 27(1): 10-11. DOI: 10.6040/j.issn.1673-3770.0.2012.120 | |
| Authors: | WAN Jing-ming |
| Affiliation: | Department of Otolaryngology, Laiwu People’s Hospital, Laiwu 271100, Shandong, China |
| Abstract: | Objective To investigate the effect of adenoidectomy and/or tonsillectomy in the treatment of pediatric obstructive sleep apnea hypopnea syndrome. Methods Clinical data of 80 children with obstructive sleep apnea hypopnea syndrome were analyzed retrospectively. Results 3 months after the operation, there were 73 cured cases, 5 effective cases, and 2 moderately effective cases. 6 months after the operation, there were 2 cured cases, 3 effective cases, 2 moderately effective cases, and 3 recurrence cases, including 2 obesity cases and 1 cerebral palsy case. The latter 3 cases got improved after weight reduction and ventilation treatment. Conclusion Adenoidectomy and/or tonsillectomy are mainstays in the treatment of pediatric obstructive sleep apnea hypopnea syndrome. Individualized treatment according to the etiology can improve the therapeutic effects. |
| Keywords: | Sleep apnea hypopnea syndrome， obstructive； Children； Adenoidectomy； Tonsillectomy； Treatment outcome |
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