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目的探讨儿童鼾症的诊断标准和治疗方法及疗效观察。方法在鼻内镜下对65例儿童鼾症患儿单纯行扁桃体摘除21例,单纯腺样体刮除14例,行扁桃体摘除和腺样体刮除30例。术后使用抗生素和止血药物治疗5～7d。结果 60例(92.3%)患儿打鼾,憋气,张口呼吸等症状消失。5例(7.7%)患儿鼾声明显减小,呼吸均匀,无憋气和张口呼吸。讨论在鼻内镜下手术[扁桃体摘除和(或)腺样体刮除]治疗儿童鼾症,解除了上呼吸道梗阻,恢复呼吸道通畅,保护儿童正常发育。安全有效,易被家长和患儿接受。
Objective To investigate the diagnostic criteria and treatment of snoring children and observe the curative effect. Methods Totally 65 cases of children with snoring were treated by endoscopic sinus surgery in 21 cases of simple tonsillectomy, simple adenoid curettage in 14 cases, tonsillectomy and adenoid curettage in 30 cases. Postoperative antibiotics and hemostatic drugs for 5 ~ 7d. Results 60 cases (92.3%) snoring, suffocation, mouth breathing and other symptoms disappear. In 5 cases (7.7%), the snoring of children was significantly reduced, breathing evenly, without suffocation and mouth breathing. Discuss the endoscopic surgery [tonsillectomy and / or adenoid curettage] treatment of children snoring, relieve the upper respiratory tract obstruction, restore airway patency and protect the normal development of children. Safe and effective, easily accepted by parents and children.