鼻内镜诊断小儿腺样体肥大所致阻塞性睡眠呼吸暂停综合征

目的:探讨鼻内镜在诊断小儿腺样体肥大所致阻塞性睡眠呼吸暂停综合征中的作用。方法:对2004年4月—2005年3月诊治的51例小儿腺样体肥大所致阻塞性睡眠呼吸暂停综合征患儿,作硬管鼻内镜检查,以腺样体占鼻咽部前后径的情况进行分组。第1、2组患者进行了腺样体切除术,第3组采取保守治疗。治疗前和治疗后1个月作呼吸睡眠监测。结果:3组间的血氧饱和度有差异。3组治疗后血氧饱和度较治疗前有明显升高,3组间无明显差异。结论:鼻内镜检查对小儿腺样体肥大所致的阻塞性睡眠呼吸暂停综合征患者的诊断及术前评估术后疗效有很好的提示作用。

The Effect of Nasal Endoscope on Diagnosis and Treatment of Obstructive Sleep Apnea Hypopnea Syndrome in Children

Objective:To assess the effect of nasal endoscope on diagnosis and treatment obstructive sleep apnea hypopnea syn- drome(OSAHS)in children.Methods:51 patients were diagnosed OSAHS by clinical symptoms,nasal endoscope and polysom- nography(PSG).By the results of the nasal endoscope,the cases were divided into 3 groups,and underwent varous therapy.Re- sults:The PO_2 of the 3 groups were were statistically significant.The PO_2 before and after treatment were statistically signifi- cant.Conclusion:Nasal endoscope is an examination with minor invasion which can be well tolerated by most children,giving more information than a lateral skull radiograph and avoiding unnecessary radiation.