Efficacy of Endoscopic Adenoidectomy and Tonsillectomy in the Treatment of Obstructive Sleep Apnea Hypopnea Syndrome in Children
LI Longqiao, WANG Shengguo, SHI Xianping, WU Feifeng, et al
Department of Otolaryngology, Head and Neck Surgery, Ninth First Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Hefei, Anhui 2300310
Abstract：Objective: To explore the clinical effects of endoscopic adenoidectomy and tonsillectomy in the treatment of obstructive sleep apnea hypopnea syndrome (OSAHS) in children. Methods: 86 children patients with OSAHS in our hospital were selected and divided into observation group and control group by simple random grouping, with 43 cases in each group. Control group was treated with continuous positive airway pressure (non-surgical treatment), and observation group was given endoscopic adenoidectomy and tonsillectomy. After 3 months of treatment, polysomnography (PSG) was performed, and the clinical efficacy of children patients was observed, and the quality of life of children patients was assessed by OSA-18 scale. Results: The effective rate of treatment in observation group was significantly higher than that in control group (93.02% vs 76.74%) (P<0.05). The changes of PSG results before and after treatment in the two groups showed the decrease of AHI, increase of lowest SaO2 and decrease of time of SaO2<92% in observation group were greater than those in control group (P<0.05). The changes of OSA-18 quality of life scores before and after treatment in the two groups showed the decreases of scores of sleep disorder, physical symptoms and daytime functional status and total score in observation group were greater than those in control group (P<0.05). In the mood, the guardian In terms of impact, there was no significant difference in the magnitude of the changes between the two groups (P>0.05). There were no significant differences in the scores of poor mood and impact on guardian between the two groups (P>0.05). The postoperative bleeding rate was 2.33% in observation group, and there were no serious complications in the two groups. Conclusion: Adenoid hypertrophy and tonsil hypertrophy are the main causes of OSAHS in children. Endoscopic surgical resection can significantly improve hypoxemia and enhance quality of life of children patients. And it is superior to non-surgical treatment, and it has few postoperative complications, and it is safe and reliable.
李龙巧, 王胜国, 史先萍, 吴飞凤, 陈志太, 周本忠. 内镜下行腺样体扁桃体切除术治疗儿童阻塞性睡眠呼吸暂停低通气综合征的疗效观察[J]. 河北医学, 2019, 25(8): 1308-1311.
LI Longqiao, WANG Shengguo, SHI Xianping, WU Feifeng, et al. Efficacy of Endoscopic Adenoidectomy and Tonsillectomy in the Treatment of Obstructive Sleep Apnea Hypopnea Syndrome in Children. HeBei Med, 2019, 25(8): 1308-1311.
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2019, Vol. 25 
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