Objective To evaluate the correlation between the polysomnographic findings and the degree of obstruction caused by adenoid and tonsillar hypertrophy in children with clinical history of apnea. Methods Retrospectively studied the children who were diagnozed clinically of obstructive sleep apnea hypopnea syndrome (OSAHS) and under-wented polysomnograph and endoscopy. Patients were divided into OSAHS and non OSAHS group according to polysomnographic findings. Results 356 children were involved in the study, and 224 of them were male. 143 children (40. 2%) diagnosed OSAHS clinically had normal polysomnographic findings. No differences were found between children with PSG documented OSAHS and others. Tonsillar and/or adenoid hypertrophy was not correlated to more severe apnea a-mong enrolled children. Conclusion There was no significant correlation between polysomnographic and clinical findings in children with OSAHS.%目的 评估儿童鼾症患者多导睡眠仪(PSG)检查与扁桃体、腺样体阻塞程度之间是否存在相关性.方法 对临床疑诊为阻塞性睡眠呼吸暂停低通气综合征(OSAHS)且完成鼻内镜及PSG检查的患儿进行回顾性分析.根据PSG结果将患儿分为OSAHS组和非OSAHS组.结果 356例患儿进入最后的数据分析,其中224例为男性；143例(40.2％)临床疑诊OSAHS的患儿PSG检查结果在正常范围.确诊为OSAHS患儿中扁桃体、腺样体肥大阻塞程度与非OSAHS患儿相比差异无统计学意义(P＞0.05).在OSAHS患儿中,扁桃体和(或)腺样体肥大程度与PSG参数之间并无显著相关性.结论 在OSAHS患儿中,临床症状与PSG检查结果之间并无显著相关性.
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