摘要
目的探讨影响阻塞性睡眠呼吸暂停低通气综合征(OSAHS)手术疗效及并发症的相关因素.方法经多导睡眠监测(PSG)确诊为OSAHS 152例,施行改良激光悬雍垂腭咽成形术,分析评估影响手术疗效及围手术期并发症的相关因素.结果 2例原发性出血,5例术后暂时性鼻腔反流,1～3周内消失.无咽腔狭窄、窒息、开放性鼻音、高血压危象、失血性休克、心脑血管意外、腭咽关闭不全等并发症.主观症状消失或明显减轻,悬雍垂2周回缩,3个月达到正常水平,咽腔形态结构与正常基本一致疗效.6个月后PSG监测,按杭州会议标准,显效85%,有效98.6%.结论建立系统的诊断治疗方案及术前评估,严格手术适应症,可有效提高腭咽成形术(UPPP)的手术疗效,降低并发症的发生.
Objective To investigate operative effect, complications of palato-pharyngoplasty, and relative factors of affecting obstructive sleep apnea-hypopnea syndrome （OSAHS）. Methods 152 cases with OSAHS were diagnosed by multiconductive sleep supervising apparatus. Palato-pharyngoplasty was performed by laser, uvula was remained. Results Follow-up 6 months by multiconductive sleep supervising apparatus after operation, the rate of cure and effect was 85% and 98.6%, respectively. There were 2 cases with primary bleed and 5 cases with temporal nasal cavity flow backwards, which disappeared within 1-3 weeks. There were no complications such as pharyngeal stricture, suffocation, open nasal sound, hypentensive crisis, hemorrhage shock, cerebrocardiovascular accident and improper close of palate and pharynx, etc. Conclusion The establishment of systematic diagnostic and therapeutic schedule, pre-operation evaluation, and strict surgical indication can effectively improve the operation efficacy of uvulopalato-pharyngoplasty and decrease the incidence of complications.
出处
《河南科技大学学报（医学版）》
2005年第3期185-187,共3页
Journal of Henan University of Science & Technology:Medical Science
