伴发儿童鼻窦炎的阻塞性睡眠呼吸暂停低通气综合征患儿手术疗效分析

孟玮; 周维国; 李光飞; 张庆翔; 李国莲; 周惠; 龚单春

doi:10.13201/j.issn.1001-1781.2014.07.009

伴发儿童鼻窦炎的阻塞性睡眠呼吸暂停低通气综合征患儿手术疗效分析

- 1 南京同仁医院耳鼻咽喉头颈外科(南京, 201110);
- 2 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科耳鼻咽喉头颈科学教育部重点实验室

详细信息

通讯作者: 周维国, E-mail:zhouweiguosky@sohu.com

中图分类号: R563.8

收稿日期: 2012-09-24

The analysis of surgery effect of OSAHS children accompanied with sinusitis

- 1 Department of Otolaryngology, Nanjing Tongren Hospital, Nanjing, 201110, China;
- 2 Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otorhinolaryngology Head and Neck Surgery, Ministry of Education

More Information

Corresponding author: ZHOU Weiguo, E-mail: zhouweiguosky@sohu.com

Received Date: 24 September 2012

摘要

摘要: 目的:探讨腺样体和(或)扁桃体切除术治疗伴发慢性鼻窦炎的OSAHS患儿的临床疗效。方法:112例OSAHS患儿中不伴发慢性鼻窦炎者80例(不伴发组),伴发慢性鼻窦炎者32例(伴发组)。其中103例患儿行腺样体、扁桃体切除术,余9例单行腺样体切除术。术前、术后均对患儿进行问卷调查及术后临床随访。结果:不伴发组腺样体和(或)扁桃体切除术有效率达90.0%;伴发组手术有效率仅为46.9%,2组患儿术后疗效比较差异有统计学意义(P＜0.05)。术后18例(16.1%)患儿主诉咽异物感,26例(23.2%)患儿咽部淋巴组织明显增生。结论:①腺样体和(或)扁桃体切除术,对治疗不伴发慢性鼻窦炎的儿童OSAHS疗效显著;②腺样体和(或)扁桃体切除术对缓解鼻部症状有一定疗效,但还应结合药物治疗慢性鼻窦炎;③应对部分患儿术后出现咽部淋巴组织增生及咽异物感予以关注。
- 儿童 /
- 睡眠呼吸暂停低通气综合征 /
- 阻塞性 /
- 外科手术 /
- 鼻窦炎
Abstract: Objective:To discuss the clinical efficacy of adenoidectomy and tonsillectomy for the OSAHS children with sinusitis. Method:Reviewing 112 cases of children with OSAHS, in which the 80 patients without chronic sinusitis, 32 ones with chronic sinusitis. Among them, 103 cases of children with adenoidectomy, tonsil resection, 9 cases adenoidectomy only. We did questionnaire surveybefore and after surgeryand also did post-surgery clinical follow-up.Result:The effective rate was 90.0% for the OSAHS children without sinusitis after adenoid and tonsil ectomy surgery, while the effective rate was 46.9% for the ones with sinusitis.the efficiency was significant different in the two groups after surgery;the 16.1% children after tonsil ectomy surgery complained the incidence of pharyngeal foreign body sensation andpharyngeal lymphoid hyperplasia in children was 23.2%.Conclusion:The efficiency was aviable for the OSAHS children without sinusitisafter surgery;The efficiency was not aviable enough for the OSAHS children with sinusitis after surgery, so the latter one need adjuvant drug treatment;We also should be attention to the pharyngeal foreign body sensation and the lymphoid hyperplasia in children after tonsillectomy.
- children /
- sleep apnea-hypopnea syndrome /
- obstructive /
- surgical procedures /
- operative

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参考文献(6)

[1]	FRANCOR A Jr, ROSENFELD R M, RAO M.First place-resident clinical science award 1999.Quality of life for children with obstructive sleep apnea[J].Otolaryngol Head Neck Surg, 2000, 123 (1Pt 1):9-16.
[2]	中华医学会耳鼻咽喉科学分会, 中华耳鼻咽喉科杂志编委会.儿童阻塞性睡眠呼吸暂停低通气综合征的诊治指南草案 (乌鲁木齐)[J].中华耳鼻咽喉科杂志, 2007, 42 (2):83-84.
[3]	中华耳鼻咽喉头颈外科杂志编委会, 中华医学会耳鼻咽喉头颈外科学分会咽喉学组.阻塞性睡眠呼吸暂停低通气综合征诊断和外科治疗指南[J].中华耳鼻咽喉头颈外科杂志, 2009, 44 (2):95-96.
[4]	中华医学会呼吸病学分会睡眠呼吸疾病学组.阻塞性睡眠呼吸暂停低通气综合征的诊治指南 (草案)[J].中华结核和呼吸杂志, 2002, 25 (4):195-198.
[5]	ANON J B, JACOBS M R, POOLE M D, et al.Antimicrobial treatment guildelines for acute bacterial rhinosinusitis[J].Otolaryngol Head Neck Surg, 2004, 130:1-45.
[6]	AMERICAN ACADEMY OF PEDIATRICS.Clinical practive guidline:management of sinusitis[J].Pediatrics, 2001, 108:798-808.