Northern Clinical School, The University of Sydney, Sydney, New South Wales, Australia; Sydney Medical School - Northern, L7 Kolling Building RNSH, Reserve Road, St Leonards, NSW 2065, Australia.
Discipline of Child and Adolescent Health, Faculty of Medicine, The University of Sydney, Sydney, New South Wales, Australia; Department of Ear Nose & Throat Surgery, The Children's Hospital at Westmead, Locked Bag 4001, Westmead, NSW 2145, Australia.
Otolaryngol Clin North Am. 2024 Jun;57(3):407-419. doi: 10.1016/j.otc.2024.02.025. Epub 2024 Apr 4.
Obstructed breathing is the most common indication for tonsillectomy in children. Although tonsillectomy is performed frequently worldwide, the surgery is associated with a number of significant complications such as bleeding and respiratory failure. Complication risk depends on a number of complex factors, including indications for surgery, demographics, patient comorbidities, and variations in perioperative techniques. While polysomnography is currently accepted as the gold standard diagnostic tool for obstructive sleep apnea, studies evaluating outcomes following surgery suggest that more research is needed on the identification of more readily available and accurate tools for the diagnosis and follow-up of children with obstructed breathing.
阻塞性呼吸是儿童扁桃体切除术最常见的指征。尽管扁桃体切除术在全球范围内广泛开展，但该手术与许多严重并发症相关，如出血和呼吸衰竭。并发症风险取决于许多复杂因素，包括手术指征、人口统计学特征、患者合并症以及围手术期技术的差异。尽管多导睡眠图目前被认为是阻塞性睡眠呼吸暂停的金标准诊断工具，但评估手术后结果的研究表明，需要进一步研究更易于获得和更准确的工具，用于诊断和随访阻塞性呼吸的儿童。
