冯波+何勇

    [摘要] 目的 探讨鼻内镜下经口腺样体切除治疗儿童阻塞性睡眠呼吸暂停综合征(OSAHS)的效果，探讨该手术方式的优点。 方法 选取宁波大学医学院附属医院2010年12月～2012年5月收治的OSAHS患儿176例为研究对象，其中89例采用鼻内镜下经口腺样体切除治疗者为观察组，87例采用传统手术治疗的患儿为对照组。观察观察组患儿疗效，比较随访6～12个月后两组患儿临床症状改善情况。 结果 术后随访6～12个月发现78例(87.64%)患者打鼾症状完全消失，11例(12.36%)好转，且观察组患儿在睡眠打鼾、鼻塞、鼻漏、听力、上课注意力不集中、多动等症状改善方面明显优于对照组，差异有统计学意义(P < 0.05)。 结论 鼻内镜下经口腺样体切除治疗儿童OSAHS效果显著，具有手术视野清晰、安全性高等优点。术后随访发现，与传统的手术相比，疗效更佳。

    [关键词] 阻塞性睡眠呼吸暂停综合征；鼻内镜；腺样体

    [中图分类号] R766.9 [文献标识码] A [文章编号] 1673-7210(2014)02(c)-0032-03

    Effect study of 89 cases with obstructive sleep apnea-hypopnea syndrome by the treatment of endoscopic adenoidectomy via endoscopic oral approach

    FENG Bo HE Yong

    Department of Otorhinolaryngology， the Affiliated Hospital of Medical College of Ningbo University， Zhejiang Province， Ningbo 315020， China

    [Abstract] Objective To study the effect of 89 cases with obstructive sleep apnea-hypopnea syndrome (OSAHS) by the treatment of endoscopic adenoidectomy via endoscopic oral approach， it could provide a better way to treat the OSAHS. Methods 176 children with OSAHS from December 2010 to May 2012 in the Affiliated Hospital of Medical College of Ningbo University as study objects ......