| 火英明1△ ESSEDDEKI Salah Eddine2 BENNANI B.Anass2 张桂娟.手术治疗摩洛哥儿童睡眠呼吸障碍的临床研究[J].,2014,14(17):3308-3311 |
| 手术治疗摩洛哥儿童睡眠呼吸障碍的临床研究 |
| Clinical Study of Endoscopic Adenoidectomy in Treatmentof Pediatric Sleep Disordered Breathing in Morocco |
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| DOI： |
| 中文关键词: 睡眠呼吸障碍 鼻内镜下腺样体切除术 扁桃体切除术 摩洛哥儿童 |
| 英文关键词: Sleep Disordered Breathing Endoscopic Adenoidectomy Tonsillectomy Moroccan Children |
| 基金项目: |
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| 中文摘要: |
| 摘要目的：观察鼻内镜下腺样体切除术或联合扁桃体切除术对摩洛哥儿童睡眠呼吸障碍的疗效，探讨儿童睡眠呼吸障碍治疗的
手术适应症。方法：136 例病例分成2 组，治疗组85 例睡眠呼吸障碍伴慢性扁桃体炎、或扁桃体Ⅲ° 肥大的儿童，行鼻内镜下腺样
体切除加扁桃体切除术；对照组51 例睡眠呼吸障碍伴单纯扁桃体扁桃体Ⅱ° 肥大的儿童，采用鼻内镜下腺样体切除，术后随访3
个月。结果：治疗组总有效率为100%（85/85），对照组84.31%（43/51），差异有统计学意义(P＜0.05)；两组患儿的Conners 儿童行为
量表评分较术前明显下降，差异有统计学意义(P＜0.05)。结论：鼻内镜下腺样体切除术联合扁桃体切除术，明显改善患儿睡眠和
呼吸，生活质量明显提高,是治疗摩洛哥儿童睡眠呼吸障碍的一线治疗方案。 |
| 英文摘要: |
| ABSTRACT Objective：To observe the clinical effect of endoscopic adenoidectomy or Combined with tonsillectomy in treatment
of pediatric sleep disordered breathing（SDB）,and explore the surgical indications of pediatric SDB in morocco.Methods: 136 cases were
separated into two groups, the treatment group (85 cases) of pediatric SDB with chronic tonsillitis or tonsill Ⅲ° hypertrophy,were
operated by endoscope-assisted adenoidectomy combined with tonsillectomy, the control group (51 cases) of pediatric SDB with tonsill
Ⅱ° hypertrophy simply, were operated by endoscope-assisted adenoidectomy. The two groups were followed up for 3 months.
Results:The total effective rate of the treatment group was 100%（85/85）, while the control group was 84.31 %（43/51）, the difference was
statistically significant (P＜0.05). Two groups' Conners behavior rating scale significantly decreased than those before operated, the
difference was statistically significant(P＜0.05).Conclusion: Endoscopic Adenoidectomy combined with tonsillectomy offers significant
improvements in children' sleep and breathing, children quality of life improved significantly, making it a valuable first-line treatment for
pediatric SDB in Morocco. |
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