微创钨针刀电凝模式行扁桃体部分切除术治疗儿童OSAHS的疗效分析

发布时间：2019-03-19 06:48

【摘要】：目的探讨微创钨针刀电凝模式行扁桃体部分切除治疗儿童伴扁桃体肥大的阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的临床疗效。方法回顾分析收治的60例OSAHS伴扁桃体肥大患儿,观察组采用微创钨针刀电凝模式行包膜内扁桃体部分切除术;对照组采用传统剥离法切除扁桃体。对比分析两组手术时间、术中出血量、术后次日疼痛指数及术前术后睡眠监测结果。结果观察组较对照组手术时间短、术后出血量少、术后疼痛轻,差异有统计学意义(P0.05);术后3个月PSG监测显示两组症状明显缓解,组间差异无统计学意义(P0.05)。结论微创钨针刀电凝模式行扁桃体部分切除术治疗儿童伴扁桃体肥大的OSAHS优于传统扁桃体剥离法,值得临床推广。
[Abstract]:Objective to investigate the clinical efficacy of partial tonsillectomy with minimally invasive tungsten needle knife electrocoagulation in the treatment of obstructive sleep apnea hypopnea syndrome (OSAHS) in children with tonsillar hypertrophy. Methods 60 cases of OSAHS with tonsillar hypertrophy were analyzed retrospectively. The patients in the observation group were treated with partial tonsillectomy with tungsten needle knife electrocoagulation and the patients in the control group were excised with the traditional peeling method. The operative time, intraoperative bleeding volume, postoperative pain index and preoperative and postoperative sleep monitoring results were compared between the two groups. Results compared with the control group, the observation group had shorter operation time, less postoperative bleeding and less postoperative pain (P0.05), and the PSG monitoring at 3 months after operation showed that the symptoms of the two groups were obviously relieved, and there was no significant difference between the two groups (P0.05). Conclusion partial tonsillectomy in children with tonsillectomy with minimally invasive tungsten needle knife electrocoagulation is superior to traditional tonsillectomy in the treatment of OSAHS. It is worth popularizing in clinical practice.
【作者单位】：广州军区广州总医院耳鼻喉科;中山大学孙逸仙纪念医院耳鼻喉科;
【基金】：国家自然科学基金面上项目(编号:81470702)
【分类号】：R766.9

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