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目的:探讨儿童阻塞性睡眠呼吸暂停综合征(OSAHS)手术成功和失败的原因,以提高手术预评估水平,提高手术疗效。方法:将我院2003-07/2008-03手术治疗的112例临床资料完整的OSAHS患儿进行了疗效分析。结果:治愈102例(91.1%)包括单侧扁桃体切除后对侧扁桃体代偿增生肥大者2例,再次行对侧扁桃体切除后治愈;显效9例(80%),包括肥胖4例,鼻阻塞4例;好转1例(0.9%),为肥胖伴下颌骨后缩者。结论:儿童OSAHS大多手术疗效较好,少数肥胖、鼻阻塞及下颌后缩疗效欠佳。
Objective: To investigate the causes of success and failure in children with obstructive sleep apnea syndrome (OSAHS) to improve the preoperative assessment and improve the curative effect. Methods: The clinical data of 112 OSAHS patients who underwent surgery in our hospital from July 2003 to March 2008 were analyzed. Results: Totally 102 cases (91.1%) were cured including contralateral tonsil hyperplasia in 2 cases after unilateral tonsillectomy and again in 9 cases (80%) after contralateral tonsillectomy, including obesity in 4 cases, nasal obstruction 4 cases; improved in 1 case (0.9%), obese with mandibular retrusion. Conclusion: Most children with OSAHS have better operative outcomes, and less obesity, nasal obstruction and mandibular retrusion are ineffective.