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为探讨儿童阻塞性睡眠呼吸暂停综合征 (OSAS)诊断及治疗方法 ,对1997～2001年收治的104例被拟诊为OSAS的患儿进行临床资料总结。在无麻醉或表面麻醉下行腺样体切除术加单侧或双侧扁桃体挤切术92例 ,全麻下行腺样体切除术加单侧或双侧扁桃体剥离术12例。结果显示 ,术后随访半年～4年 ,打鼾、张口呼吸等症状消失59例(56.7%) ,明显减轻28例(26.9 %) ,稍有改善14例(13.4 %) ,复发3例(2.88%) ,总有效率83.6%。表明腺样体和扁桃体肥大是儿童OSAS最常见的病因 ,其早期诊断应依据详尽的病史和体格检查 ,PSG检查并不是确诊的唯一标准 ;手术治疗是目前最主要的治疗方法 ,而手术的彻底性是提高治愈率、防止复发的关键
To investigate the diagnosis and treatment of obstructive sleep apnea syndrome (OSAS) in children, clinical data of 104 children admitted to OSAS admitted from 1997 to 2001 were summarized. Anesthesia without anesthesia or underwent adenoidectomy combined with unilateral or bilateral tonsil squeeze in 92 cases underwent adenoidectomy under general anesthesia plus unilateral or bilateral tonsillectomy in 12 cases. The results showed that in the follow-up period of six months to four years, 59 cases (56.7%) were relieved of symptoms such as snoring and mouth opening, 28 cases (26.9%) were relieved, 14 (13.4%) were slightly improved, 3 ), The total effective rate of 83.6%. Show that adenoid and tonsil hypertrophy is the most common cause of OSAS in children, its early diagnosis should be based on detailed medical history and physical examination, PSG examination is not the only standard of diagnosis; surgical treatment is the most important treatment, and the thorough operation Sex is to improve the cure rate, the key to prevent recurrence