手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征80例

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。

Surgery for pediatric obstructive sleep apnea hypopnea syndrome-A report of 80 cases

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.