摘要
目的探讨矫治器治疗阻塞性睡眠呼吸暂停综合征（ＯＳＡＳ）的方法、机制及适应症并进行疗效分析。方法 选择诊断为ＯＳＡＳ的患者７例，男５例，女２例，戴入矫治器进行治疗。治疗前后摄头影测量片，并做ＰＳＧ监测以评价疗效。结果７例ＯＳＡＳ ，患者戴入矫治器后，下颌骨位置改变至前伸位，咽腔结构及其周围软组织的位置关系均发生相应变化。Ｖｅ—ＰＶｅ由４．８±０．８２ｍｍ增加到６．３±１１．９ｍｍ（Ｐ＜０．００１），气道通气量增加。结论口腔矫治器是ＯＳＡＳ保守治疗的有效方法，对于下颌后缩、低角及无悬雍垂过长和软腭松驰下垂的轻中度ＯＳＡＳ ，患者效果良好。
Objective To investigate the feasibility of dental appliance for the treatment of obstructive sleep apnea syndrome (OSAS). Methods Seven cases with OSAS were selected to wear the modified Herbst appliances, and radiographic cephalometry and polysomnography (PSG) were used to evaluate the therapeutic effect of this procedure, taken before and after the treatment. Results Following the treatment with dental appliances, the position of mandibula was changed to protrusive one, with corresponding changes in the shape of pharyngeal cavity and the positional relation of it with surrounding soft tissues, among all the 7 cases. The index of Ve -PVe was prolonged from 4. 8±0.82mm to 6. 3±1.9 mm(P<0.001) and the volume of airway flow increased in turn. Conclusion Dental appliance is effective for the conservative treatment of OSAS, especially for those with mandibular retraction and hypo-angle and without himantosis and soft palate flaccid ptosis.
出处
《中国中西医结合耳鼻咽喉科杂志》
2001年第4期178-181,共4页
Chinese Journal of Otorhinolaryngology in Integrative Medicine
