Zhang Qingfeng, She Cuiping, Li Dawei, Cheng Chenjing, Zhang Xinran
Department of Otorhinolaryngology, Dalian Municipal Central Hospital, Dalian, 116033, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2011 Feb;25(3):114-6.
To investigate the efficacy and feasibility of coblation treatment of partial tonsillectomy in children with obstructive sleep apnea-hypopnea syndrome (OSAHS).
The clinical datum of 91 children with OSAHS were retrospective analysis during the period from January 2009 to November 2009. All subjects, the main obstructive lesions were hypertrophy of tonsils and adenoids ,and which without recurrent pharyngodynia and tonsillitis, were applied with coblation treatment of partial tonsillectomy and adenoid ablation.
Intraoperative blood loss was about 1-2 ml in all subjects,no primary and delayed hemorrhage happened and postoperative pain happened. All subjects were followed-up for 12 months to 22 months, symptoms of snoring and mouth breathing disappeared. No tonsil regeneration and repeated inflammatory episode was found.
Coblation treatment of partial tonsillectomy in children with OSAHS is micro-invasive, safe and effective, which is suitable for children of different age groups with hypertrophy of tonsils.
探讨低温等离子消融术治疗小儿阻塞性睡眠呼吸暂停低通气综合征（OSAHS）行部分扁桃体切除术的疗效及可行性。
回顾性分析2009年1月至2009年11月期间91例OSAHS患儿的临床资料。所有主要阻塞性病变为扁桃体及腺样体肥大且无反复咽痛及扁桃体炎的患儿，均采用低温等离子消融术行部分扁桃体切除术及腺样体切除术。
所有患儿术中出血量约1 - 2ml，无原发性及迟发性出血发生，术后有疼痛。所有患儿随访12个月至22个月，打鼾及张口呼吸症状消失。未发现扁桃体再生及反复炎症发作。
低温等离子消融术治疗小儿OSAHS行部分扁桃体切除术具有微创、安全、有效的特点，适用于不同年龄段扁桃体肥大的患儿。
