CAJ | 학술논문

目的：探讨阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apneahypopnea syndrome OSAHS）患儿术前、术后听力及中耳功能的变化。方法选择病因是扁桃体及腺样体肥大的OSAHS患儿48例，术前做纯音测听、声导抗检查，了解患儿听力状态。全麻下切除双侧扁桃体，同期在鼻内镜下用切吸器切除腺样体；术后抗生素预防感染、静脉激素抗炎、雾化吸入等治疗，术后门诊随访。结果所有患者随访6-12月，复查听力学检查，听力下降患儿39例听力及中耳功能明显改善。结论对OSAHS患儿应常规行术前、术后听力学检查、并作对比，分析扁桃体及腺样体切除术前后患儿的中耳功能及听力改善情况，取得患儿家属的认可，具有良好的社会效益。
목적：탐토조새성수면호흡잠정저통기종합정（obstructive sleep apneahypopnea syndrome OSAHS）환인술전、술후은력급중이공능적변화。방법선택병인시편도체급선양체비대적OSAHS환인48례，술전주순음측은、성도항검사，료해환인은력상태。전마하절제쌍측편도체，동기재비내경하용절흡기절제선양체；술후항생소예방감염、정맥격소항염、무화흡입등치료，술후문진수방。결과소유환자수방6-12월，복사은역학검사，은력하강환인39례은력급중이공능명현개선。결론대OSAHS환인응상규행술전、술후은역학검사、병작대비，분석편도체급선양체절제술전후환인적중이공능급은력개선정황，취득환인가속적인가，구유량호적사회효익。
Objective To study the change of the heannig in children with obstructive sleep apnea hypopnea syndrome at before and after the surgery of tonsillecto-my and adenoidectomy.Methods A total of 48 children with OSAHS because of the hypertrophy of adenoid and tonsil were included in this study .Pure tone audiometry and acoustic immittance measurement were taken before and after operation to understanding of children with hearing status .Under the general anesthesia,first resection of bilateral amygdala,and then cut the adenoid under nasal endoscope.Postoperative antibiotics to prevent infection,intravenous steroid anti-inflammatory and inhalation therapy,etc.Outpatient follow-up review audiological examination 6 to 12 months,39 cases of hearing and middle ear function improved significantly .Results Children with OSAHS should be routine audiological examination ,to analysing the hearing and middle ear function who with hearing loss in children with OSAHS before and after the tonsillectomy and adenoidectomy,has made with family recognition and favorable social benefit.