扁桃体全切除手术,扁桃体部分切除手术,儿童阻塞性睡眠呼吸暂停低通气综合征,手术效果比较," />
扁桃体全切除手术,扁桃体部分切除手术,儿童阻塞性睡眠呼吸暂停低通气综合征,手术效果比较,"/>
Total tonsillectomy,Partial tonsillectomy,Obstructive sleep apnea hypopnea syndrome in children,Comparison of surgical results,"/>
Objective To compare the effects of total tonsillectomy (TE) and partial tonsillectomy (TT) in the treatment of obstructive sleep apnea hypopnea syndrome in children (OSAHS). Methods A total of 200 children with OSAHS treated in Jiangxi Children′s Hospital from January 2021 to June 2021 were analyzed retrospectively. They were divided into control group (140 cases) and observation group (60 cases). The children in the two groups were assisted by lowtemperature plasma. The children in the control group were treated with TE and the children in the observation group were treated with TT. The surgical effect, sleep quality, apnea index (AH), hypopnea index (HI), respiratory event related microawakefulness index (MAI), blood gas index and incidence of complications of the two groups were compared.Results There was no significant difference in the total effective rate between the two groups (P>0.05). After operation,the score of specific quality of life questionnaire (OSA-18) in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05). AHI, HI and MAI indexes in the observation group were lower than those in the control group, the differences were statistically significant (P<0.05). After operation, the pH value and arterial partial pressure of oxygen (PaO2) in the observation group were higher than those in the control group, the differences were statistically significant (P<0.05). The incidence of complications in the observation group was lower than in the control group, the difference was statistically significant (P<0.05). Conclusion TT is effective for children with OSAHS, with less bleeding, less pain and fewer complications.
应炳泉;王彤;龙丰云;彭新. 扁桃体全切除与部分切除术治疗儿童阻塞性睡眠呼吸暂停低通气综合征的效果比较[J]. 中国当代医药, 2022, 29(5): 116-119.
YING Bingquan;WANG Tong;LONG Fengyun;PENG Xin. Effect comparison of total tonsillectomy and partial tonsillectomy in the treatment of obstructive sleep apnea hypopnea syndrome in children. 中国当代医药, 2022, 29(5): 116-119.