摘要
目的:探讨Repose系统舌骨悬吊术联合悬雍垂腭咽成形术治疗重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的近期疗效。方法:12例重度OSAHS患者,经电子鼻咽喉镜检查结合Muiller试验检查确定存在腭咽及舌咽平面阻塞。然后先行Repose系统舌骨悬吊术,术后平均3 d行UPPP。结果:术后随访3个月,PSG复查,手术前后AHI及LSO2的变化均有统计学意义(均P<0.01)。呼吸紊乱指数从69.28±6.50下降至19.77±9.23,LSaO2从(65.25±3.14)%上升至(90.17±2.86)%。手术未见严重并发症。结论:分期Repose系统舌骨悬吊术联合UPPP手术近期疗效是目前治疗腭咽及舌咽平面阻塞的重度OSAHS患者的一种有效的手术方案。
Objective; To explore the effect of a comprehensive surgical approach of hyoid suspension with Repose system plus uvulopalatopharyngoplasty （UPPP） on the treatment of severe obstructive sleep apnea hypopnea syndrome （OSAHS）, Method： Twelve patients with severe OSAHS （AHI 〉 40 ） diagnosed by polysornnography, were determined for the obstruction in both the velo-pharyngea and the hypopharynx by preoperative physical examination, fiberoptic pharyngo-laryngoscopy. Two cases were given continuous airway pressure via nose, seven days before operation and then were performed hyoid suspension plus UPPP. The follow up was 3 months postoperatively. The pair T test was used to compare the preoperative and postoperative results by SPSSll. 0 for windows, Result：At postoperative 3 month, there were statistically significance between preoperative and postoperative measurement in all. Mean AHI decreased from preoperative 69. 28 ±6. 50 to postoperative 19.77±9.23, lowest mean oxygen saturation increased from 65.25±3.14 to 90, 17±2.86. Snoring and sleep apnea disapeared or lessened, with the disappearance or decrease of lethargy at daytime. No severe complication occurred. Conclusion： Comprehensive surgical approach of hyoid suspension with Repose system plus UPPP is effective surgical approach for patients with severe OSAHS who suffered from oropharyngeal and hypopharyngeal obstruction in short-term result.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2007年第24期1127-1128,共2页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
