تاثير برداشتن لوزه بر ميزان اشباع اكسيژن خون شرياني

THE EFFECTS OF ADENOIDECTOMY ON ARTERIAL OXYGEN SATURATION

Introduction : Hypertrophy of the adenoid is a relatively common problem in children that can obstract upper airway and decrease arterial oxygen pressure and there fore. Causes the risk of obstructive sleep apnea and cardiopulmonary complications. Material and Methods : In 188 patients with symptoms of upper airway obstruction, oxygen saturation was measured using pulse oxymetry, preoperatively. SaO2 was again measured one month after adenoidectomy in those children with preoperative SaO2 less than 95%, using the pulse oximeter. Results : From 188 patients, 102 of them had preoperative SaO2 less than 95% (89-94%). 87 patients of them had postoperative follow up and their SaO2 was above 95% in all of them in two patients (P<0.001). Discussion : Arterial oxygen saturation increase was seen after adenoidectomy. and it seems that SaO2 measurment can he used as a safe and simple way to for assessing the severity of upper airwav obstruction in children with adenoid hyperuophv and also to the result of the operation effects on it.