摘要
目的探讨鼻内镜下鼻腔结构重建手术在治疗OSAHS中的作用及必要性。方法选择伴有鼻腔阻塞性病变的OSAHS54例患者,施行鼻内镜下选择性鼻腔多结构重塑手术。术前、术后3～6个月分别行ESS评分及PSG监测,并评估鼻腔通气、打鼾及憋气程度,根据ESS评分、AHI和LSaO2评估疗效。结果有效统计51例,术后鼻腔通气明显改善,打鼾、憋气亦有不同程度改善;术前、术后构成比变化,Ⅰ型和轻度OSAHS患者总有效率较高;而Ⅳ型和重度OSAHS患者术前及术后3～6个月AHI、LSaO2及ESS差异无统计学意义,P>0.05。结论鼻阻塞性病变对OSAHS有重要影响,根据情况实行鼻内镜下鼻腔结构重塑个体化微创手术在OSAHS的治疗中具有积极作用。
Objective To investigate the effect and necessity on rebuilding the structure of the nasal cavity by endoscopy for the treatment in OSAHS.Methods 54 patients with OSAHS and obstructive nasal disease have be selectively practiced the nasal surgery by endoscopy.They were adopted the assessing methodology by Epworth sleepiness scale（ESS）and Polysomnograpny monitoring（PSG）before and after operation.We assessed separately the degree of aasal cavity ventilating、snoring and breath holding,and assessed of the efficacy according to ESS score,AHI and LSaO2.Results Nasal ventilation was significantly improved,snoring,and breath holding conditions have been improved in 51 patients.The constituent ratio has changed after surgery,the total efficiency is higher for I type and the mild OSAHS.However,it is not obvious statistically significance for the patients with the type Ⅳ and severe OSAHS on the AHI,LSaO2 and EP data（P0.05）.Conclusion Nasal obstructive diseases have important implications on OSAHS.It is very important that the minimally individual surgical treatment rebuild the structure of the nasal cavity for the OSAHS patients by nasal endoscopy.
出处
《四川医学》
CAS
2010年第12期1783-1785,共3页
Sichuan Medical Journal
关键词
阻塞性睡眠呼吸暂停
气道阻力
内镜手术
obstructive sleep apnea
the airway resistance endoscopic surgery
