CAJ | 학술논문

目的：探讨手术治疗儿童OSAHS的临床疗效。方法回顾分析2010年1月～2013年6月在我科住院194例儿童OSAHS的患儿，采用在全麻下行双侧扁桃体摘除术+鼻内窥镜下经口径行腺样体电动吸切术，观察其临床效果。结果194例手术均取得良好效果，随访6个月～1年完全消除打鼾或仅有轻微鼾声。治愈140例，好效52例，无效2例，有效率98．9％。结论全麻下行双侧扁桃体摘除术+鼻内镜下经口径行腺样体电动吸切术治疗儿童OSAHS具有良好的临床疗效，值得临床推广应用。
목적：탐토수술치료인동OSAHS적림상료효。방법회고분석2010년1월～2013년6월재아과주원194례인동OSAHS적환인，채용재전마하행쌍측편도체적제술+비내규경하경구경행선양체전동흡절술，관찰기림상효과。결과194례수술균취득량호효과，수방6개월～1년완전소제타한혹부유경미한성。치유140례，호효52례，무효2례，유효솔98．9％。결론전마하행쌍측편도체적제술+비내경하경구경행선양체전동흡절술치료인동OSAHS구유량호적림상료효，치득림상추엄응용。
Objective To explore the clinical efficacy of surgical treatment of Pediatric Obstructive Sleep Apnea Hypopnea Syndrome(OSAHS).Methods From January 2010 to June 2013, 194 cases of Pediatric Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS) were diagnosed in our department, and tonsillectomies combined with adenoidectomy with nasal endoscopic and electric planer through oral cavity were performed on the patients under general anaesthesia. Through retrospective review and analysis of the 194 cases, the clinical efficacy of surgical treatment of Pediatric OSAHS was observed and assessed.Results The 194 cases all achieved good effects. Follow-up visits found that snoring disappeared completely or remained only slightly 6~12 months after the operation.140 cases were cured, 52 cases demonstrated beneficial effect and only 2 cases showed no effect. The effective rate was 98.9%.Conclusion Tonsillectomy combined with adenoidectomy with nasal endoscopic and electric planer through oral cavity under general anaesthesia has a significant effect of treating Pediatric OSAHS, which is worthy of clinical application.