低温等离子射频治疗儿童阻塞性睡眠呼吸暂停低通气综合征768例研究

发布时间：2018-03-27 11:12

本文选题：低温等离子射频　切入点：儿童　出处：《临床耳鼻咽喉头颈外科杂志》2014年07期

【摘要】：目的:总结分析儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)低温等离子射频治疗的手术方法及临床疗效。方法:回顾性研究经低温等离子射频治疗的768例OSAHS患儿,单纯扁桃体切除39例,单纯腺样体切除192例,扁桃体全部切除+腺样体切除243例,扁桃体部分切除+腺样体切除294例,总结分析其临床疗效、术后并发症及术前术后睡眠监测结果。结果:创面假膜脱落时间为术后10~14d,11例患儿术后1周出现扁桃体窝继发出血,21例患儿术后半年舌根及咽后壁淋巴组织代偿性增生,术后睡眠打鼾、憋气及张口呼吸症状均有不同程度改善,经不同术式治疗的OSAHS患儿术后3个月的睡眠监测结果较术前均有明显改善,差异具有统计学意义(P0.01)。结论:低温等离子射频是治疗儿童OSAHS行之有效的方法,对于腺样体和扁桃体的处理,可根据患儿不同情况选择不同术式,对于合并分泌性中耳炎鼓室积液的患儿,可行鼓膜穿刺术。
[Abstract]:Objective: to summarize the operative methods and clinical efficacy of low temperature plasma radiofrequency (RF) therapy for obstructive sleep apnea hypopnea syndrome (OSAHS) in children. Methods: a retrospective study was made on 768 children with OSAHS treated by low temperature plasma radiofrequency. There were 39 cases of tonsillectomy, 192 cases of adenoidectomy, 243 cases of total tonsillectomy and 294 cases of partial tonsillectomy. Postoperative complications and postoperative sleep monitoring results: the time of pseudomembranium loss was 10 ~ 14 days after operation in 11 patients with secondary hemorrhage in tonsil fossa and compensatory hyperplasia of tongue root and lymphoid tissue of posterior pharyngeal wall in 21 children half a year after operation. The symptoms of snoring, choking and opening mouth were improved in different degree after operation. The results of sleep monitoring of the children with OSAHS treated with different surgical methods were significantly improved after 3 months compared with those before operation. Conclusion: low temperature plasma radiofrequency is an effective method for the treatment of children with OSAHS. For children with secretory otitis media tympanic effusion, tympanic membrane puncture is feasible.
【作者单位】：大连市中心医院耳鼻咽喉头颈外科;
【分类号】：R766

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