扁桃体和（或）腺样体手术在小儿鼾症治疗中的研究

目的：探讨扁桃体和（或）腺样体手术治疗小儿鼾症的临床疗效。方法：对125例小儿鼾症患者行扁桃体和（或）腺样体手术,观察其治疗效果。结果：出院时治愈率72.58％,总有效率97.58％;术后6个月时治愈率87.90％,总有效率98.39％,两者之间无明显差异性。6例伴有卡它性中耳炎患儿症状消失;14例伴有腺样体面容患儿改善;6例伴有鼻窦炎患儿症状消失,3例改善。结论：扁桃体和（或）腺样体是治疗儿童鼾症安全、有效的方法。术前影像学及鼻咽镜检查对明确诊断和指导手术方案有肯定的价值。

Efficacy of tonsillectomy and (or) adenoidectomy treated snoring disease in children

Objective:To explore the efficacy of tonsillectomy and (or) adenoidectomy treated snoring disease in children. Methods:In my department, 125 pediatric patients with sleepapnea (including 1 case of choanal atresia out of the diagnostic criteria) were treated by surgery, to observe the therapeutic effect. Results:When children leaving hospital, the recovery rate was 72.58%,and the total effective rate was 97.58%; six months following surgery, the recovery rate was 87.90%,and the total effective rate was 98.39%.Following treatment, other accompanied symptoms were significantly improved. 6 cases of children with secretary otitis media were cured;14 cases with adenoidectomy face were improved; 6 cases with sinusitis in children with symptoms were disappeared, 3 cases improved. Conclusion: tonsillectomy and (or) Adenoidectomy is safe and effective to treat snoring disease in children. Preoperative imaging and microscopic examination of the nasopharyngeal check clear diagnosis and guide the operation scheme has certain value.