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儿童治疗严重和非常严重的阻塞性睡眠呼吸暂停后的结果 总体 vs 内囊性桃体切除术
Jordyn A Hurly1, Anna Christina Clements2, Marisa A Ryan3
1Johns Hopkins University School of Medicine Baltimore Maryland USA.
囊内桃体切除术对严重阻塞性睡眠呼吸暂停综合征 (OSAS) 患者有好处. 这项研究发现,对于严重和非常严重的OSAS,囊内和全桃体切除术之间的术后结果没有差异.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科睡眠医学 儿科睡眠医学
- 外科手术的结果
背景情况:
- 囊内桃体切除术 (IT) 与总桃体切除术 (TT) 相比,与减少疼痛,更快的恢复和较低的出血风险有关.
- 在患有严重或非常严重阻塞性睡眠呼吸暂停综合征 (OSAS) 的儿科患者中,关于IT疗效的研究有限.
研究的目的:
- 为了比较患有严重和非常严重的OSAS诊断的儿科患者的IT与TT的术后结果.
- 评估囊内桃体切除术在治疗严重儿科阻塞性睡眠呼吸暂停综合征方面的有效性.
主要方法:
- 一项回顾性研究包括57名儿科患者 (≤18岁) 患有严重 (OAHI ≥10) 或非常严重 (OAHI ≥30) 的OSAS,接受了腺切除术或切除术.
- 手术后的多睡眠学评估了阻塞性呼吸暂停-呼吸暂停指数 (OAHI),氧和度最低点,高心血量和需要CPAP的残留OSAS.
主要成果:
- 在IT和TT组之间没有观察到术后残留OSAS结果的显著差异.
- 手术后237天进行了平均随访多睡眠图,根据手术技术,结果没有统计学上显著的变化.
结论:
- 囊内和全桃体切除术在患有严重和非常严重的OSAS的儿科患者中产生了类似的术后OAHI结果.
- 需要进一步的研究,以确定与严重儿科阻塞性睡眠呼吸暂停综合征的囊内桃体切除术相关的长期术后结果.
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