鼻内镜下腺样体联合扁桃体切除及腭咽成形术治疗小儿鼾症72例临床观察.pdfVIP

414 Medical Science Journal of Central South China,July2013,Vol.41,No.4 文章编号:2095-1116(2013)04-0414-03 ·临床医学· 鼻内镜下腺样体联合扁桃体切除及腭咽成形术 治疗小儿鼾症72例临床观察 朱发梅,郑家法 (南华大学附属南华医院耳鼻喉科,湖南衡阳421002) 摘摇 要:摇 目的摇 探讨鼻内镜下腺样体切除联合扁桃体切除及腭咽成形术治疗小儿鼾症的临床疗效。 摇 方法 摇 对72例扁桃体肥大合并腺样体肥大的小儿鼾症患者,采用鼻内镜下腺样体切除联合扁桃体切除及腭咽成形术 治疗,观察其临床治疗效果。摇 结果摇 术后半年,所有患儿睡眠打鼾、张口呼吸、睡眠呼吸暂停等症状均明显改善, 治愈54例(75%),好转18例(25%)。 摇 结论摇 鼻内镜下腺样体切除联合扁桃体切除及腭咽成形术对小儿鼾症具 有良好的临床治疗效果。 关键词:摇 鼻内镜;摇 腺样体切除;摇 扁桃体切除;摇 腭咽成形术;摇 小儿鼾症 中图分类号:R762摇 摇 摇 文献标识码:A Clinical Observation of Treatment of Children Snore by Nasal Endoscopic鄄Assisted Adenoidectormy Combined with Tonsillectomy and Uvulopalatopharyngoplasty ZHU Famei,ZHENGJiafa (Department of Otolaryngology,theAffiliated Nanhua Hospital,University of South China, Hengyang,Hunan421002,China. ) Abstract:摇 Objective摇 To evaluate the effects of nasal endoscopic鄄assisted adenoidectormy combined with tonsillec鄄 tomy and uvulopalatopharyngoplasty in children snore cases.摇 Methods摇 72 patients diagnosed with children snore,in鄄 duced by tonsil hypertrophy in combination with adenoidal hypertrophy,were hospitalized in our department.All patients were treated with nasal endoscopic鄄assisted adenoidectormy combined with tonsillectomy and uvulopalatopharyngoplasty. Clinical effectswereobservedforaleastsixmonths.摇 Results摇 Aftersurgery,the6鄄monthedfollowingwasputinpractice; snore and buccal respiration and sleep apnea syndrome were obviously improved in all cases.Among72 patients,54 cases were fully recoveredandtherecovery ratewas75%,theother 18 caseswereimprovedandtheimprovementratewas25%. Conclusion