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

李大伟; 张庆丰; 宋伟

doi:10.13201/j.issn.1001-1781.2014.07.006

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

- 大连市中心医院耳鼻咽喉头颈外科(辽宁大连, 116033)

详细信息

通讯作者: 张庆丰, E-mail:13500718828@163.com

中图分类号: R563.8

收稿日期: 2013-11-28

A retrospective study of 768 coblation treatment in children with obstructive sleep apnea-hypopnea syndrome

- Department of Otolaryngology Head and Neck Surgery, Dalian Central Hospital, Dalian, 116033, China

More Information

Corresponding author: ZHANG Qingfeng, E-mail: 13500718828@163.com

Received Date: 28 November 2013

摘要

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10~14 d,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(P＜0.01)。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。
- 低温等离子射频 /
- 儿童 /
- 睡眠呼吸暂停低通气综合征 /
- 阻塞性
Abstract: Objective:To investigate the therapeutic effects of 768 coblation treatment in children with obstructive sleep apnea-hypopnea syndrome.Method:A review of 768 coblation treatment in children with obstructive sleep apnea-hypopnea syndrome was presented with respect to the sleep monitoring results, therapeutic effects and complications.Result:The time of pseudomembrane ablate was 10-14 d after operation. There were 11 patients occurred Secondarily bleeding within 1 week and 21 patients lymphatic tissue hyperplasia compensatorily within half a year after operation. After operation 3 months, the sleep Monitoring results were improved remarkably(P<0.01)and the symptoms of snore and choke improved.Conclusion:Coblation treatment in children with obstructive sleep apnea-hypopnea syndrome can reduce bleeding volume and improve obstruct syndrome apparently. The treatments of tonsils and adenoids differ with the characteristics of children and tympanotomy was fit for children with secretory otitis media.
- radio frequency /
- children /
- sleep apnea-hypopnea syndrome /
- obstructive

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参考文献(4)

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