CAJ | 학술논문

目的：探讨低温等离子技术治疗婴幼儿睡眠呼吸障碍疾病的临床应用。方法：回顾2008年1月至2012年6月间在我院行低温等离子技术切除扁桃体和（或）腺样体的161例婴幼儿临床资料。161例患儿包括76例原发性鼾症（primary snoring， PS），85例阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea-hypopnea syndrome， OSAHS），评价并发症的发生及疗效情况。结果：术中出血均少于10 mL，2例继发性出血，术后疼痛轻微，2013年1月随访截止，成功随访了161例（sleep disordered breathing， SDB）患儿，术后1年疗效评价，治愈141例（87．6％），显效15例（9．3％），有效3例（1．9％），无效2例（1．2％），总有效率98．8％。结论：等离子技术治疗婴幼儿睡眠呼吸障碍疾病，微创，安全，有效。
목적：탐토저온등리자기술치료영유인수면호흡장애질병적림상응용。방법：회고2008년1월지2012년6월간재아원행저온등리자기술절제편도체화（혹）선양체적161례영유인림상자료。161례환인포괄76례원발성한증（primary snoring， PS），85례조새성수면호흡잠정저통기종합정（obstructive sleep apnea-hypopnea syndrome， OSAHS），평개병발증적발생급료효정황。결과：술중출혈균소우10 mL，2례계발성출혈，술후동통경미，2013년1월수방절지，성공수방료161례（sleep disordered breathing， SDB）환인，술후1년료효평개，치유141례（87．6％），현효15례（9．3％），유효3례（1．9％），무효2례（1．2％），총유효솔98．8％。결론：등리자기술치료영유인수면호흡장애질병，미창，안전，유효。
Objective To investigate the clinical application of the coblation in the treatment of the infant with sleep-disordered breathing. Methods The clinical data were reviewed from 161 infants, who had the cobtilaon tonsillectomy and/or adenoidectomy sugeries in our hospital from January , 2008 to June, 2012. Among the 161 SDB cases, there were 85 obstructive sleep apnea hypopnea syndrom cases and 76 primary snoring cases. After 12 months, the follow-up visit is cut off in January, 2013. Successful follow-ups had been done to 161 infant with SDB. And the clinical efficacy and the occurrence of the complications were investigated. Results the intra-operative blood loss was 10 mL or less. 2(1.24%) were delayed hemorrhage with less pain afteroperation. One year after the surgery, there were 141 cured (87.6%), 15 with apparent effects (9.3%), 3 with effective results (1.9%), 2 with no effect(1.2%)and the total effective rate is 98.8%. Conclusion It is minimally invasive, safe and effective to use coblation to remove tonsil and adenoid in the treatment of infants with sleep-disordered breathing.