摘要
目的：回顾性分析重度多水平顽固性阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者的手术疗效.方法：对6 例重度多水平顽固性OSAHS患者全麻下行＂双颌前徙1~1.5 cm,再行双颌根尖下截骨后退术＂,术后随访0.5~2 年.结果：随访结果显示全部患者睡眠打鼾、憋醒、大汗淋漓症状消失,AHI指数（次/h睡眠）由术前61.3~78.4降为术后0~4.3,睡眠时最低血氧饱和度由术前的23%增加至术后的95%以上,平均血氧饱和度由术前的58%~69%增加至术后的95%以上;治愈率为100%.结论：对重度多水平顽固性阻塞性睡眠呼吸暂停低通气综合征的患者采用双颌前徙的手术术式,可达到最佳治疗效果.
Objective： To review the outcomes of the surgical treatment of severe multi-level obstructive sleep apnea syndrome（ OS- AHS）. Methods： 6 patients with sever multi-level OSAHS were treated by surgical option including maxillomandibular advancement （MMA） about 1 -1.5 em and setback genioplasty under general events/h sleep anesthesia. Follow-up was conducted for 0.5 -2 years. Results： MMA resulted in a reduction of mean apnea-hypopnea index（ AHI）, form 61.3 - 78.4 to 0 -4.3 recorded by polysom- nography. The symptoms like snoring, suffocation and perspiration disappeared in all patients after operation. Lowest oxygen saturation and average oxygen saturation increased from 23% and 58% -69% before operation to above 95% after operation respectively. The cure rate is 100%. Conclusion： Operation of MMA can he the best surgical treatment for the management of severe multi-level OS- AHS.
出处
《实用口腔医学杂志》
CAS
CSCD
北大核心
2014年第1期103-105,共3页
Journal of Practical Stomatology
基金
陕西省科技攻关项目(编号:2012SF2-20-2)
关键词
阻塞性睡眠呼吸暂停低通气综合征(OSAHS)
双颌手术
呼吸紊乱指数
氧饱和度
Obstructive sleep apnea/hypopnea syndrome （ OSAHS ）
Maxillomandibular advancement （ MMA ）
Apnea- hypopnea index （ AHI ）
Oxygen saturation
