内窥镜治疗儿童阻塞性睡眠呼吸暂停低通气综合征

摘要

Objective: To evaluate the clinical effect of ednoscope-assisted adenoidectomy in children with obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods:Forty children of OSAHS underwent tonsillectomy and/or endoscope-assisted adenoidectomy and were followed up between 6 to 12 months after the operation. Pediatric OSA disease-speci tic Quality-of-Life Questionnaire (OSA-18) was used to evaluate the efficacy regarding the life quality of the patients 4 weeks before the surgery and 6 to 12 months after the procedure, apart from determination of the relationship between OSA-18 scores and ratio of adenoid-nasopharynx.Results:OSAHS severely effected 25％ of the children with their quality of life, and yet, 87.50％ of them were improved greatly after the surgery. Still, the ratio of adenoid-nasopharynx was positively associated with the pre-operative scores by OSA-18. Conclusion: Tonsillectomy and/or endoscope-assisted adenoidectomy may be effective and recommended in treatment of children with OSAHS due to its shortened duration of the procedure, easy performance and fewer complications.%目的:探讨内窥镜下治疗儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的临床疗效.方法:对40例OSAHS患儿行内窥镜下刨削腺样体和(或)扁桃体切除术,术后随访观察6～12月;采用儿童阻塞性睡眠呼吸暂停疾病特异性生活质量调查表(OSA-18)对40例患儿分别进行术前4周和术后6～12个月的生活质量调查予以评价手术疗效;同时分析扁桃体和腺样体大小与OSA-18评分的关系.结果:OSAHS对25%患儿生活质量造成严重影响,术后约 87.50%的患儿生活质量得到明显改善.手术前OSA-18评分与腺样体大小存在明显相关性.结论:内窥镜下刨削腺样体和(或)扁桃体切除对儿童OSAHS具有较好的临床疗效,且手术时间短,操作简单,并发症少,尤其适合儿童OSAHS的手术治疗.