CAJ | 학술논문

目的探讨不同手术方式对儿童阻塞性睡眠呼吸暂停综合征（OSAHS）伴分泌性中耳炎（SOM）治疗的临床疗效。方法采用回顾性研究的方法，选择在我院确诊的儿童OSAHS伴SOM的患儿82例，其中扁桃体+腺样体切除术+鼓室置管术组42例，扁桃体+腺样体切除术组+药物治疗组40例。所有患儿术前均行多导睡眠监测（PSG）、声导抗、鼻咽侧位片、儿童鼻内镜、耳内镜检查；术后1个月、3个月、6个月对所有患儿临床疗效随访观察。采用SPSS17.0软件对数据进行统计分析。结果两种手术方式治疗儿童OSAHS伴SOM均有一定疗效。术后3个月、6个月两组之间比较差异有统计学意义（<0.05）。结论扁桃体+腺样体切除术+鼓室置管术为儿童OSAHS伴SOM的主要治疗方式，值得我们临床医生推广。
목적탐토불동수술방식대인동조새성수면호흡잠정종합정（OSAHS）반분비성중이염（SOM）치료적림상료효。방법채용회고성연구적방법，선택재아원학진적인동OSAHS반SOM적환인82례，기중편도체+선양체절제술+고실치관술조42례，편도체+선양체절제술조+약물치료조40례。소유환인술전균행다도수면감측（PSG）、성도항、비인측위편、인동비내경、이내경검사；술후1개월、3개월、6개월대소유환인림상료효수방관찰。채용SPSS17.0연건대수거진행통계분석。결과량충수술방식치료인동OSAHS반SOM균유일정료효。술후3개월、6개월량조지간비교차이유통계학의의（<0.05）。결론편도체+선양체절제술+고실치관술위인동OSAHS반SOM적주요치료방식，치득아문림상의생추엄。
Objective To investigate the dif erent surgical methods clinical curative ef ect of treatment between obstructive sleep apnea hypopnea syndrome (OSAHS) and secretory otitis media (SOM) in children .Methods Using the method of retrospective study, We choiced 82 cases children who diagnosised OSAHS with SOM, including tonsil and adenoidectomy and tympanostomy tube surgery group 42 cases, tonsil and adenoidectomy group 40 cases.Al children were checked by polysomnography (PSG), acoustic immit ance, nasopharyngeal lateral slice, children, ear endoscope endoscopy;Al children were fol owed up for clinical curative ef ect observation after 1 month, 3 months, 6 months. The data were analyzed by SPSS 17.0. Results Both types of surgery treatment of children OSAHS with SOM have certain curative ef ect after 3 months, 6 months .There were comparing dif erences between two groups ( <0.05). Conclusion The main treatment for children OSAHS with SOM is tonsil and adenoidectomy and tympanostomy tube surgery.It is worth for clinical doctors.