中国卫生标准管理
中國衛生標準管理
중국위생표준관리
CHINA HEALTH STANDARD MANAGEMENT
2015年
19期
56-58
,共3页
儿童OSAHS%低温等离子消融术%扁桃体摘除术
兒童OSAHS%低溫等離子消融術%扁桃體摘除術
인동OSAHS%저온등리자소융술%편도체적제술
OSAHS%Low temperature coblation%Dissection tonsilectomy
目的：探讨腺样体低温等离子消融术联合扁桃体摘除术治疗儿童OSAHS的疗效。方法回顾分析23例儿童OSAHS患者，经过PSG（多导睡眠图）和电子鼻咽喉镜检查确诊，主要病因为腺样体肥大和扁桃体肥大，治疗采用腺样体低温等离子消融联合扁桃体摘除术。术后随访1年以上，再次行PSG和电子鼻咽喉镜检查评估疗效。结果23例患儿术后随访12～24月，平均（18±5）个月，客观检查患儿术前术后平均AHI，OAI及LSaO2变化（P<0.01）。结论OSAHS儿童患者尤其是患腺样体肥大、扁桃体肥大者，行腺样体低温等离子消融术联合扁桃体摘除疗效极好，有效率达90％。
目的：探討腺樣體低溫等離子消融術聯閤扁桃體摘除術治療兒童OSAHS的療效。方法迴顧分析23例兒童OSAHS患者，經過PSG（多導睡眠圖）和電子鼻嚥喉鏡檢查確診，主要病因為腺樣體肥大和扁桃體肥大，治療採用腺樣體低溫等離子消融聯閤扁桃體摘除術。術後隨訪1年以上，再次行PSG和電子鼻嚥喉鏡檢查評估療效。結果23例患兒術後隨訪12～24月，平均（18±5）箇月，客觀檢查患兒術前術後平均AHI，OAI及LSaO2變化（P<0.01）。結論OSAHS兒童患者尤其是患腺樣體肥大、扁桃體肥大者，行腺樣體低溫等離子消融術聯閤扁桃體摘除療效極好，有效率達90％。
목적：탐토선양체저온등리자소융술연합편도체적제술치료인동OSAHS적료효。방법회고분석23례인동OSAHS환자，경과PSG（다도수면도）화전자비인후경검사학진，주요병인위선양체비대화편도체비대，치료채용선양체저온등리자소융연합편도체적제술。술후수방1년이상，재차행PSG화전자비인후경검사평고료효。결과23례환인술후수방12～24월，평균（18±5）개월，객관검사환인술전술후평균AHI，OAI급LSaO2변화（P<0.01）。결론OSAHS인동환자우기시환선양체비대、편도체비대자，행선양체저온등리자소융술연합편도체적제료효겁호，유효솔체90％。
Objective To evaluate the effectiveness of combining low temperature coblation of adenoid with dissection tonsillectomy in the treatment of OSAHS.MethodsA retrospective study,including 23 children with OSAHS, whose diagnoses were made based on polysomnography (PSG) and laryngoscopy, was carried out. Al patients received low temperature coblation of adenoid and dissection tonsilectomy. After a folowing﹣up period over one year, these children received the same assessment methods mentioned above.ResultsA significant improvement was observed according to compare the AHI, OAI, LSaO2by pre-operation and post-operation with a folowing﹣up period from 12 months to 24 months.Conclusion Low temperature coblaton of adenoid combining with dissection tonsilectomy is safe and effective in the treatment of OSAHS.
