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目的分析儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的原因及手术时机、术式的选择。方法对58例儿童OSAHS患儿进行病因分析及治疗方案探讨,其中5岁以下儿童采用腺样体切除加单侧扁桃体切除。5岁以上儿童一般情况下不再考虑保留单侧扁桃体。结果 58例患儿术后恢复良好,术后3～5d,大多患儿能用鼻呼吸且打鼾减轻,夜间睡眠质量明显好转。结论扁桃体、腺样体切除是治疗儿童OSAHS的有效方法。对5岁以下儿童行手术治疗保留一侧扁桃体的术式值得推广应用。
Objective To analyze the causes of obstructive sleep apnea-hypopnea syndrome (OSAHS) in children and the choice of operation timing and operation method. Methods 58 cases of children with OSAHS etiology analysis and treatment options, including children under 5 years of age with adenoidectomy plus unilateral tonsillectomy. Children over the age of 5 under normal circumstances no longer consider the preservation of unilateral tonsil. Results 58 cases of children with good recovery after surgery, 3 ~ 5d after surgery, most children can use nasal breathing and snoring relieve night sleep quality improved significantly. Conclusion Adenotonsillectomy is an effective method for the treatment of OSAHS in children. Surgical treatment of children under the age of 5 to retain the side of tonsil surgery is worth promoting the application.