超声刀在治疗儿童阻塞性睡眠呼吸暂停低通气综合征中的应用

目的 探讨超声刀辅助下手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的可行性。方法 将38例入选儿童OSAHS患者分为A、B两组,A组(18例)用超声刀辅助下手术,B组(20例)采用传统方法手术,对术中出血量、手术时间、术后疼痛程度、术后伤口愈合情况及术后出血等几个方面进行对照观察研究。结果 术中出血量、手术时间及术后出血概率超声刀组较传统手术组明显减少,差异有统计学意义。超声刀术组与传统手术组在创面白膜生成及脱落时间、术后切口生长情况及术后疼痛方面差异无统计学意义。结论 超声刀辅助手术治疗儿童OSAHS具有微创、安全及可行性等特点,是一种治疗儿童OSAHS较好的方法。

Application of harmonic scalpel in children with obstructive sleep apnea and hyponea syndrome

Objective To investigate the effectiveness of harmonic scalpel assisted adenotonsillectomy in the treatment of children with obstructive sleep apnea and hyponea syndrome(OSAHS). Method 38 cases of children with OSAHS were randomly divided into ultrasonic scalpel group (group A, 18 cases) and control group (group B, 20 cases). The adenotonsillectomy was operated with harmonic scalpel in group A, but without in group B. The blood loss, the operation time, postoperative pain, the condition of wounds were compared between the two groups. Results The operative blood loss, operation time, incidence of postoperative hemorrhage of the group A were much less than those of the group B, while no difference in postoperative pain and condition of wounds were noted between the two groups. Conclusion The application of harmonic scalpel in adenotonsillectomy for children with OSAHS is safe, efficient and feasible.