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目的探讨儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的病因和手术治疗。方法回顾性分析150例确诊为OSAHS的患儿的临床症状、体征及特殊检查结果,寻找其发病原因及诊断手段。对腺样体、扁桃体肥大的患儿进行手术治疗,评价其疗效。结果扁桃体、腺样体肥大是引起儿童OSAHS的主要原因。所有患儿均行腺样体和(或)扁桃体切除术,术后随访0.5~1年,104例痊愈,占69.3%,41例好转,占27.3%,5例无效,占3.3%,有效率为96.7%。其中无效的5例为合并肥胖患儿。结论儿童OSAHS在病因上有其特殊性,病史与多导睡眠监测(PSG)是主要的诊断依据,腺样体和扁桃体切除手术是有效的治疗方法。
Objective To investigate the etiology and surgical treatment of childhood obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods A retrospective analysis of 150 cases of children diagnosed with OSAHS clinical symptoms, signs and special examination results, looking for its causes and diagnostic tools. Adenoid, tonsil hypertrophy in children with surgical treatment, evaluate its efficacy. Results tonsil, adenoid hypertrophy is the main cause of OSAHS in children. All patients underwent adenoid and / or tonsillectomy. After follow-up for 0.5 to 1 year, 104 patients were cured, accounting for 69.3%, 41 improved, accounting for 27.3%, 5 were ineffective, accounting for 3.3% 96.7%. Among them, 5 cases were obese with obesity. Conclusion Children with OSAHS have their own etiology, history and polysomnography (PSG) are the main diagnostic criteria, adenoid and tonsillectomy is an effective treatment.