低温射频消融扁桃体与腺样体治疗儿童OsAHs的疗效观察

目的探讨低温等离子射频消融扁桃体与腺样体肥大治疗儿童OSAHS的临床疗效和安全性。方法对2007年2月～2011年4月78例6～16岁符合OSAHS诊断标准的扁桃体和（或）腺样体肥大的儿童，行扁桃体和（或）腺样体低温等离子射频消融治疗，观察其疗效情况。结果所有病例中65例术后6个月复查PSG均提示AHI较术前明显降低，最低血氧饱和度较术前明显升高，差异有统计学意义（P〈0．05）。结论低温等离子射频消融扁桃体和（或）腺样体治疗儿童OSAHS安全有效。

Therapentic Effect of Tonsillectomy and Adenoidectomy by Temperaturecontrolled Radiofrequency Ablation in Children Obstructive Sleep Apnea Hypoprea Syndrome

Objective To explore the clinical effect and safety of temperature-controlled radiofrequeney ablation of tonsil and adenoids in the treatment of children obstructive sleep apnea hypoprea syndrome （ OSAHS ）. Methods From February 2007 to April 2011,78 patients with tonsil hypertrophy or adenoidal hypertrophy confirmed OSAHS were treated by temperature-controlled radiofrequency ablation of tonsil and/or adenoids, then to explore the clinical effect. Results Six months after the operation,65 of the 78 patients, the mean of apnea hypopnea index （ AHI ） and lowest oxygen saturation （ LSaO2 ） after the operation representing a marked improvement than per-operation.Ther e was significant difference （P 〈 0.05 ） between them. Conclusion The temperaturecontrolled radiofrequeney ablation of tonsil and/or adenoids is an effective and safe technique in the treatment of children OSAHS.