// Intracapsular tonsillectomy/tonsillotomy for severe pediatric obstructive sleep apnea A PRISMA-based systematic review and exploratory meta-analytic synthesis of full-text articles
本研究系統回顧嚴重兒童阻塞性睡眠呼吸暫停（OSA）患者接受包囊內扁桃體切除/扁桃體部分切除合併腺樣體切除術的成效｜結果顯示呼吸暫停-低通氣指數由術前19.6降至術後3.0次／小時（p < 0.001），出血率低｜手術有效且安全，但部分患者可能面臨扁桃體再生或需二次手術，須長期追蹤觀察。
// This study systematically reviewed intracapsular tonsillectomy/tonsillotomy with adenoidectomy for severe pediatric obstructive sleep apnea (OSA). Analysis of 11 studies showed a significant reduction in apnea-hypopnea index, from 19.6 to 3.0 events/hour post-surgery (p < 0.001), with low bleeding rates. The procedure is effective and safe, though some patients may experience tonsillar regrowth or need revision surgery. Overall, it offers substantial polysomnographic improvement with acceptable postoperative risks and requires long-term follow-up.
Published 2026年8月25日
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