关键词: 扁桃体切除术, 生活质量, 多道睡眠监测, 阻塞性睡眠呼吸暂停低通气综合征, 腺样体切除术, 儿童

Abstract:

Objective    To investigate the clinical effectiveness of adenoidectomy and tonsillectomy in children with obstructive sleep apnea hypopnea syndrome(OSAHS). Methods    Clinical data of eighty children undergoing adenoidectomy and tonsillectomy were reviewed, including polysomnography(PSG) and OSA-18 scale three months preoperative and six months post-operative. Effects of operation, changes of PSG parameters and OSA-18 scores were analyzed. Results    Among eighty cases, there were seventy cured(87%), 8 markedly effective(10%), and 2 improved(3%). The total effective rate was 100%. In the latter ten cases, symptoms of allergic rhinitis  were significantly improved in eight cases, and obesity-associated symptoms were relieved in the other two cases. The clinical parameters, such as apnea hypopnea index(AHI), lowest oxygen saturation (LsaO2) and OSA-18 score, were significantly improved after the operation(P<0.05). Conclusion   Tonsillectomy and (or) adenoidectomy are effective procedures to treat OSAHS in children. PSG and OSA-18 scale are comprehensive tools to evaluate the clinical results.

Key words: Children, Adenoidectomy, Polysomnography, Tonsillectomy, Obstructive sleep apnea hypopnea syndrome, Quality of life