Reilly Brian K, Levin Joshua, Sheldon Stephen, Harsanyi Krisztina, Gerber Mark E
Department of Otolaryngology, Northwestern University, Chicago, Illinois, USA.
Laryngoscope. 2009 Jul;119(7):1391-3. doi: 10.1002/lary.20257.
OBJECTIVES/HYPOTHESIS: To evaluate the efficacy of microdebrider intracapsular tonsillectomy (MT) as a treatment for pediatric obstructive sleep apnea (OSA) and sleep disordered breathing.
A retrospective study evaluating polysomnogram outcomes for 26 patients who had undergone MT by a sole surgeon (M.G.) for OSA.
Chart review of patients who underwent polysomnograms pre- and post-adenotonsillectomy. This study represents a single pediatric otolaryngologist's experience at two tertiary care medical centers (Children's Memorial Hospital and Evanston Hospital) in the greater Chicago area.
Statistically significant improvement of both the apnea-hypopnea index (AHI) and apnea index with P < .0001. All 26 children in the cohort had improved AHI scores following intracapsular tonsillectomy. Statistical analysis was performed using a P value < .05, which was significant.
MT is an effective means of treating obstructive sleep apnea. Because of its favorable surgical outcomes and minimal morbidity, an increasing number of studies have found MT to be an excellent option for the surgical management of adenotonsillar hypertrophy in pediatric patients with OSA.
目的/假设：评估微切割刀囊内扁桃体切除术（MT）治疗小儿阻塞性睡眠呼吸暂停（OSA）和睡眠呼吸紊乱的疗效。
一项回顾性研究，评估由单一外科医生（M.G.）为OSA患者实施MT术后的多导睡眠图结果。
回顾性分析接受腺样体扁桃体切除术前、后的多导睡眠图的患者病历。本研究代表了一位小儿耳鼻喉科医生在大芝加哥地区的两家三级医疗中心（儿童纪念医院和埃文斯顿医院）的经验。
呼吸暂停低通气指数（AHI）和呼吸暂停指数均有统计学意义的改善，P < .0001。队列中的所有26名儿童在囊内扁桃体切除术后AHI评分均有改善。采用P值 < .05进行统计分析，结果具有显著性。
MT是治疗阻塞性睡眠呼吸暂停的有效方法。由于其良好的手术效果和极低的发病率，越来越多的研究发现MT是小儿OSA患者腺样体扁桃体肥大手术治疗的极佳选择。
