JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2016, Vol. 30 ›› Issue (5): 42-48.doi: 10.6040/j.issn.1673-3770.0.2016.086

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A systemic review system to evaluate the effects of different tonsil and adenoid surgical methods on children with obstructive sleep apnea-hypopnea syndrome.

YU Qingqing, TANG Jun, WANG Yuejian   

  1. Department of Otolaryngology &Head and Neck Surgery, Foshan First People's Hospital, Foshan 528000, Guangdong, China
  • Received:2016-03-04 Online:2016-10-20 Published:2016-10-20

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Abstract: Objective To establish a systematic review system to compare the therapeutic effects of different tonsil and adenoid surgical procedures on childrens obstructive sleep apnea-hypopnea syndrome(OSAHS). Methods CNKI, Wanfang Data, CBM and VIP were searched for randomized controlled trials on the therapeutic effects of different tonsil and adenoid surgical procedures on childrens OSAHS from the date of establishment of the databases to July of 2016. The extracted data were analyzed by Revman 5.0. Results A total 7 studies were included. Meta-analysis showed the differences between the case group and control group in curative ratio, effective rate, AHI and LSaO2 werent significant(P>0.05), but the differences in the operation time and intraoperative blood loss were significant(P<0.05). Only one paper compared humoral and cellular immunity index before and 6 months after partial and total tonsillectomy with adenoidectomy, which could not be included in the meta-analysis. Conclusion Few researches on the effects of different surgical procedures on childrens immunity have been found, and control tests could not be carried out because of different observing time after surgery. The results from the present study indicate that partial tonsillectomy plus adenoidectomy does not impact on the humoral and cellular immunity of children. It is an ideal method for patients below eight with simple hypertrophy of tonsil and adenoid, which can not only improve ventilation disorder, but also retain the tonsil immune function and reduce the operation time and intraoperative blood loss.

Key words: Tonsil, Adenoid, Systematic review, Obstructive sleep apnea hypopnea syndrome, Children

CLC Number: 

  • R766.7
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