CAJ | 학술논문

目的：探讨鼻内镜下腺样体切除治疗儿童阻塞性睡眠呼吸暂停综合征的临床效果。方法选择2011年4月至2012年5月我院收治的儿童阻塞性睡眠呼吸暂停综合征30例，根据随机数字表法分为治疗组与对照组各15例，对照组采用传统腺样体刮除术，治疗组给予鼻内镜下腺样体切除术。结果手术进行顺利，治疗组的有效率为100.0%，明显高于对照组的73.3%，P＜0.05。治疗组的手术时间与术中出血量都明显少于对照组（P＜0.05）。结论鼻内镜下腺样体切除治疗儿童阻塞性睡眠呼吸暂停综合征具有很好的微创性，也能提高总体治疗疗效。
목적：탐토비내경하선양체절제치료인동조새성수면호흡잠정종합정적림상효과。방법선택2011년4월지2012년5월아원수치적인동조새성수면호흡잠정종합정30례，근거수궤수자표법분위치료조여대조조각15례，대조조채용전통선양체괄제술，치료조급여비내경하선양체절제술。결과수술진행순리，치료조적유효솔위100.0%，명현고우대조조적73.3%，P＜0.05。치료조적수술시간여술중출혈량도명현소우대조조（P＜0.05）。결론비내경하선양체절제치료인동조새성수면호흡잠정종합정구유흔호적미창성，야능제고총체치료료효。
Objective To explore the effect of children with obstructive sleep apnea syndrome treated by endoscopic adenoidectomy.Methods 30 cases of children with obstructive sleep apnea syndrome were divided into treatment group and control group with 15 cases each; control group received traditional adenoids curettage, and treatment group received endoscopic adenoidectomy.Results All patients were successfully operated without serious complications;the effective rate of treatment group were 100.0%,which was significantly higher than control group(73.3%)(P<0.05). Operative time and blood loss of treatment group were significantly less than control group(P<0.05).Conclusions Endoscopic adenoidectomy treatment of children with obstructive sleep apnea syndrome has a good minimal invasiveness, and also can improve overall treatment efficacy.