儿童阻塞性睡眠呼吸暂停低通气综合征的手术治疗

①目的 探讨儿童阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的临床表现特点及手术治疗效果。②方法 回顾分析62例儿童OSAHS病人的临床资料，其中扁桃体、腺样体同时肥大41例，单纯扁桃体肥大8例，单纯腺样体肥大11例，会厌囊肿1例，软腭畸胎瘤1例。行扁桃体切除术＋腺样体刮除术41例；单纯行扁桃体切除术8例；单纯腺样体刮除术11例；会厌囊肿摘除术1例；软腭畸胎瘤切除术1例；有12例同时行鼓膜穿刺术治疗渗出性中耳炎。③结果 全部病儿无手术并发症。术后1周，55例睡眠打鼾、呼吸暂停、张口呼吸、憋醒等症状完全消失；7例鼾声减弱，呼吸暂停、张口呼吸消失。随访6～12个月，无复发。④结论 扁桃体、腺样体肥大是引起儿童OSAHS的主要原因；扁桃体、腺样体切除术是治疗儿童OSAHS的有效办法。

SURGICAL TREATMENT FOR OBSTRUCTIVE SLEEP APNEA HYPOPNEA SYNDROME IN CHILDREN

Objective To investigate the clinical characteristics and treatment outcome of the obstructive sleep apnea hypopnea syndrome(OSAHS) in children. Methods A retrospective study was conducted in 62 children with OSAHS, which included 41 cases with tonsil and adenoid hypertrophy, eight with tonsil hypertrophy, 11 with adenoidal hypertrophy, one with epiglottic cyst, and one case with soft palate teratoma. All the patients were treated surgically, in which, a puncture of ear drum was done simultaneously in 12 cases for exudative otitis media. Results No operative complications were recorded in this study. One week after operation, OSAHS symptoms in 55 cases disappeared completely, and seven improved. No recurrence was found. Conclusion OSAHS in children is mainly caused by tonsil and adenoid hypertrophy. Tonsillectomy and adenoidectomy are the effective ways to treat OSAHS in children.