【摘要】目的探讨鼻内镜下腺样体扁桃体切除治疗儿童阻塞性睡眠呼吸暂停综合征的疗效。方法选择55例诊断为儿童阻塞性睡眠呼吸暂停综合征的患者行腺样体扁桃体切除术,术前经CT检查确诊为腺样体肥大。手术在经口插管全身麻醉下进行。结果打鼾、鼻塞等症状消失或减轻,随访6—12个月无复发。结论鼻内镜下吸切割器切除腺样体扁桃体并发症少、止血彻底、疗效好,值得推广。

    【关键词】睡眠呼吸暂停阻塞性儿童腺样体切除术扁桃体切除术

    中国图分类号:R725.6文献标识码:A 文章编号:1005-0515(2010)08-086-02

    【Abstract】objectiveapproach the therapeutic effect of the adenoidectomy and amygdalectomy

    to cure the children obstructive sleep apnea syndrome by the rhino endoscope.Methodto select 55 case of patients who suffer from the the children obstructive sleep apnea syndrome and have done the adenoidectomy and amygdalectomy by the rhino endoscope.. Preoperative final diagnosis: ‘adenoidal hypertrophy’ through CT scan Theoperation wascarried on byperos cannula and general anesthesia. Resultthe symptom of snore and nasal obstruction relieve or vanish. There are no recurrence in the 6-12 months. Conclusion: the operation of the adenoidectomy and amygdalectomy by the rhino endoscope has less complication, hematischesis thoroughly and great curative effect, which is deserve to spread. ......