Objective To investigate the therapeutic effect of tonsillectomy and adenoidectomy on pediatric obstructive sleep apnea hypopnea syndrome(OSAHS).Methods Fifty-eight children with OSAHS underwent the adenoi-dectomy and/or tonsillectomy under general anesthesia.Preoperative and postoperative(6 to 12 months later) parameters of polysomnograph were compared.The follow-up period was 12 to 24 months.Results Neither postoperative acute obstruction in airway nor bleeding or infection occured in all children.Snoring,anischuria and open-mouth breathing were all markedly improved.Patients showed cured in 39 cases(67.23%),greatly improved in 13 cases(22.40%),improved in 6 cases(10.30%),and failed in 0 case.Conclusions Adenoidectomy and/or tonsillectomy was an effective treatment for pediatric OSAHS.