摘要
目的探讨鼻腔扩容术治疗OSAHS的改良术式。方法选择55例阻塞平面为Ⅰ型的OSAHS患者行保留下鼻甲海绵状组织的鼻腔扩容术(治疗组),对照组26例行下鼻甲黏膜下部分切除术。两组均比较手术前后PSG结果。结果术后随访6～12个月,治疗组手术前后PSG参数中AHI、AI、LSaO2及MSaO2差异有统计学意义(P<0.01),治疗组比对照组效果好。结论保留下鼻甲海绵状组织的鼻腔扩容术能较好地保留鼻腔的生理功能,对Ⅰ型OSAHS疗效确切,比常用的下鼻甲黏膜下部分切除术效果优良。
Objective To investigate an improved surgical approach of nasal cavity surgery expansion for obstructive sleep apnea hypopnea syndrome （OSAHS）. Methods 55 OSAHS patients with choking plane located in the nasal cav ity were enrolled in the treatment group in which cavemosums of inferior turbinate had been retained in the nasal cavity surgery expansion and 26 patients were performed partial removal of the inferior turbinate submucosal the preoperative data and postoperative data results were compared. PSG data of AHI, AI, LSaO2 and MSaO2 of the two groups were compared. Result Followed up for 6 to 12 months, the latter had poor results. Conclusion The operation of cavem osums of inferior turbinate had been retained in the nasal cavity is helpful in reserving nasal function and has good clini cal effect for OSAHS type I. It is better than portion inferior turbinate submucosa excision.
出处
《山东大学耳鼻喉眼学报》
CAS
2013年第3期42-44,53,共4页
Journal of Otolaryngology and Ophthalmology of Shandong University
关键词
下鼻甲
海绵状组织
扩容术
睡眠呼吸暂停
阻塞性
Inferior turbinate
Cavemosum
Cavity surgery expansion
Sleep apnea hypopnea syndrome, obstructive
