手术治疗儿童阻塞性睡眠呼吸暂停低通气综合征312例

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(obsturctive sleep apnea hypopnea syndrome, OSAHS)的疗效.方法 对312例OSAHS患儿行全身麻醉鼻内镜下腺样体、扁桃体切除联合腭咽成型术,并将本组患儿疗效同175例经传统方法治疗的OSAHS患儿疗效进行比较.结果 术后随访6个月,283例痊愈,7例显效,21例有效,1例无效.与传统方法治疗组比较,痊愈率差异有统计学意义.无一例复发,未见任何局部及全身并发症,无不良反应.149例患儿术后3个月行多道睡眠监测(polysomnography, PSG),结果均较术前明显改善.结论 手术治疗儿童OSAHS可提高其痊愈率,无局部及全身并发症.

Therapeutic effect of surgery on obstructive sleep apnea hypopnea syndrome in 312 children

Objective To investigate the clinical efficacy of surgery on childhood obstructive sleep apnea hypopnea syndrome （OSAHS）. Methods Data of 312 patients with OSAHS diagnosed with polysomnography were analyzed. All children underwent the adenoid tonsillectomy and palatopharyngoplasty. The curative effect of surgery was compared with that of 175 OSAHS patients treated with traditional methods. Results Six months after the treatment, fully recovery was observed in 283 cases, excellence in 7 cases, effectiveness in 21 cases and uneffectiveness in 1 case, with sigificantly higher fully recovery rate than that of the control group. No local or systematic complications were observed. Conclusions Surgery was a safe method for the treatment of childhood OSAHS.