儿童阻塞性睡眠呼吸暂停低通气综合征240例的手术治疗

目的探讨手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hy-popnea syndrome,OSAHS)的适应证、手术方法和疗效。方法回顾性总结了2 4 0例确诊为OSAHS需手术治疗病例,其中腺样体加扁桃体切除214例,单纯腺样体切除11例,单纯扁桃体切除15例。结果所有患者术后随访半年以上,175例(72.91%)痊愈,50例(20.83%)好转,15例(6.25%)无效。其中11例乳牙松动,3例乳牙脱落,8例术后24 h体温超过38℃;给予对症支持治疗后病情愈合。结论手术切除肥大的扁桃体和腺样体是治疗儿童OSAHS的主要治疗方法,但应根据不同的阻塞因素选择不同的手术方式。

Surgical treatment of obstructive sleep apnea hypopnea syndrome in 240 children

Objective To study the indications, methods and effect of surgical treatment for obstructive sleep apnea hypopnea syndrome （ OSAHS ） in children. Methods Clinical data of 240 children suffering from OSAHS and treated surgically was analyzed retrospectively. Of them, tonsillectomy plus adenoidectomy was applied to 214 cases, tonsillectomy to 15 and adenoidectomy to 11. Results All the patients had been followed up for at least 6 months postoperatively. 175 cases （72.91%） were cured, 50 cases （20.83%） got improved and 15 cases （6.25%） were ineffective. As for the surgical complications, odontoseisis of primary teeth occurred in 11 cases while odontoptosis of primary teeth in 3. Conclusions Adenoidectomy plus tonsillectomy is effective for the treatment of pediatric OSAHS.