摘要
目的观察采用软腭横向双梭形切除联合扩大双侧扁桃体切除术治疗阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的临床疗效及并发症发生情况。方法59例I型OSAHS患者分成观察组（39例）采用软腭横向双梭形切口及扩大双扁桃体切除，对照组（20例）行上腭成形术或保留悬雍垂上腭成形术。比较两组临床效果。结果经治疗后，观察组咽痛时间平均9．8d、鼻腔反流7例、咽腔缩窄0例，对照组分别为18．2d、18例、3例，两组差异均有统计学意义（x2=6．348、3．578、4．901，均P〈0．05）。观察组治疗后鼾声消失19例、明显减轻17例、无改变3例，对照组分别为10例、4例、6例，两组鼾声治疗效果差异有统计学意义（U=3．426，P〈0．05）。呼吸暂停低通气指数及血氧饱和度两组术前、术后差异均无统计学意义（均P〉0．05）。结论采用软腭横向双梭形切除联合扩大双侧扁桃体切除术式治疗OSAHS，可完整保留了悬雍垂，有效扩大口咽腔通气截面积，且较好保留咽腔的正常生理形态和功能。
Objective To observe the postoperational curative effect and complicational occuring status by using soft palate landscape orientation two fusiform cuts and enlarge two amygdales resection to treat（ obstructive sleep apnea hyponea syndrome,OSAHS）. Methods 59 cases with type I OSAHS were divided into experimental group（39 eases） using soft palate landscape orientation two fusiform cuts and enlarge two amygdales resection, control group（20 cases） carrying out UPPP or keeping uvula UPPP. Results Tow groups postoperational total effective rate 84.75% （50/ 59 ）, PSG survey＇s analysis （ X2 = 6. 348, P 〈 0.05 ） with preoperation, postoperation, without obvious discrepancy, the degree of postoperational pharyngeal ache, after follow-up visit 6-12 months, comparing the changes of snore, nasopharynx＇s back/low or missing deglutition and appearing cavum pharyngis coarctation （ U = 3. 426, P 〈 0.05 ）, having outstanding discrepancy. Conclusion It was not only to completely keeping uvula by using soft palate landscape orientation two fusiform cuts and enlarge two amygdales resection to treat OSAHS, hut to enlarge soft palate shaping confines, not only effectively enlarging the ventilate＇s sectional area of cavum oropharyngeum, but preferably keeping the normal physiological morphology and function of cavum pharynges, avoiding the happening such as palatepharynx insufficiency complication etc.
出处
《中国基层医药》
CAS
2012年第6期852-853,共2页
Chinese Journal of Primary Medicine and Pharmacy
