Sasamura Y, Kudo F
Division of Otorhinolaryngology, Chiba Children's Hospital.
Nihon Jibiinkoka Gakkai Kaiho. 1999 Sep;102(9):1022-7. doi: 10.3950/jibiinkoka.102.1022.
Infants with upper airway obstruction caused by adenotonsillar hypertrophy often suffer from sudden death. We have performed adenotonsillar operations on patients under 2 years of age. These infants had sleep apnea, dyspnea, poor increase of body weight or cardiac hypertrophy. This is a report on a clinical study on these infants. Between October 1988 and February 1998 eighteen patients under 2 years of age (17 boys and one girl) had an adenotonsillar operation in our hospital. Three had adenotomy and two had adenotomy and one-sided tonsillectomy. The remaining thirteen patients had adenotonsillectomy. During the post operative period, all showed remarkable improvement in sleep apnea and dyspnea with the exception of four patients in whom reoperation was required because sleep apnea was brought on again by adenoid rehypertrophy and tonsillar hypertrophy. Based on this study, we conclude that adenotonsillectomy is effective in infants with sleep apnea or dyspnea caused by adenotonsillar hypertrophy.
因腺样体扁桃体肥大导致上呼吸道梗阻的婴儿常遭遇猝死。我们对2岁以下的患儿进行了腺样体扁桃体手术。这些婴儿存在睡眠呼吸暂停、呼吸困难、体重增长不佳或心脏肥大的情况。这是一份关于这些婴儿的临床研究报告。1988年10月至1998年2月期间，18名2岁以下的患儿（17名男孩和1名女孩）在我院接受了腺样体扁桃体手术。3名患儿接受了腺样体切除术，2名患儿接受了腺样体切除术及单侧扁桃体切除术。其余13名患儿接受了腺样体扁桃体切除术。术后，除4名患儿因腺样体再次肥大和扁桃体肥大导致睡眠呼吸暂停复发而需要再次手术外，所有患儿的睡眠呼吸暂停和呼吸困难均有显著改善。基于本研究，我们得出结论，腺样体扁桃体切除术对因腺样体扁桃体肥大导致睡眠呼吸暂停或呼吸困难的婴儿有效。
