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目的探讨儿童扁桃体Ⅰ度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)低温等离子腺样体消融术与扁桃体+腺样体消融术远期疗效及影响因素。方法收集119例扁桃体Ⅰ度OSAHS患儿完整的临床资料,其中,实验组(60例)接受低温等离子扁桃体切除+腺样体消融术,对照组(59例)接受低温等离子腺样体消融术。通过术后6个月、1年、2年及4年的随访,比较两组患儿术后疗效及生活质量。结果术后4年,实验组治愈53例,好转4例,无效3例,总有效率95%;对照组治愈25例,好转24例,无效10例,总有效率83.05%。实验组患儿疗效明显优于对照组,差异具有统计学意义(P<0.1)。术后疗效的影响因素有年龄、肥胖、合并有鼻-鼻窦炎、中耳炎、合并牙颌面畸形等。实验组中远期并发症咽部异物感2例。结论低温等离子切除肥大的腺样体及扁桃体是治疗扁桃体Ⅰ度OSAHS患儿的有效方法。
Objective To investigate the long-term efficacy and influential factors of low-temperature plasma adenoidectomy and tonsil adenoid ablation in children with tonsil obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods A total of 119 children with OSAHS were enrolled in this study. The experimental group (60 cases) received low-temperature plasma tonsillectomy and adenoidectomy, while the control group (59 cases) received low-temperature plasma adenoidectomy. After 6 months, 1 year, 2 years and 4 years follow-up, the postoperative efficacy and quality of life in both groups were compared. Results In the 4 years after operation, 53 cases were cured, 4 cases improved, 3 cases ineffective and the total effective rate was 95%. In the control group, 25 cases were cured, 24 cases improved, and 10 cases were ineffective. The total effective rate was 83.05%. The efficacy of the experimental group was significantly better than that of the control group, the difference was statistically significant (P <0.1). The influencing factors of postoperative efficacy are age, obesity, combined with rhinosinusitis, otitis media, combined dental and maxillofacial deformities. Long-term complications in experimental group pharyngeal foreign body sensation in 2 cases. Conclusion Low temperature plasma ablation of hypertrophy of adenoids and tonsils is an effective method for the treatment of children with grade Ⅰ OSAHS.