摘要
目的 :探讨治疗阻塞性睡眠呼吸暂停综合征 (OSAS)舌根后气道阻塞的有效手术方法。方法 :应用多导睡眠监测仪诊断 OSAS,纤维喉镜 Muller' s法及 X线头颅侧位测量 ,判断咽部阻塞平面在舌根后气道患者 8例 ,4例行舌骨翻转术 ;2例行悬雍垂腭咽成形术 (U PPP) +舌骨翻转术 ;2例为 UPPP术后 1～ 2年后效果不佳 ,再行舌根翻转术。结果 :4例舌骨翻转术 2例治愈 ,1例显效 ,1例改善 ;2例联合手术 1例治愈 ,1例显效 ;2例分期手术 1例显效 ,1例改善。结论 :舌骨翻转术治疗 OSAS舌根后气道阻塞有效 ,对患者损伤不大 ,无副作用 ,易为患者接受 ,可以作为治疗 OSAS舌根后气道阻塞的手术方法之一。
Objective:To investigate the effective surgical therapy for obstructive sleep apnea syndrome(OSAS) with collapse at the retrolingual air way Methods:Using polysomnograph,OSAS were diagnosed in 8 patients,with fibrolaryngoscopic Muller's method and with cephalometric measurement of the retrolingual air way space on X ray film,the obstructive level at hypopharynx in 8 patients were decided.Of them,four patients underwent partial hyoid subvolution(PHS),2 underwent uvulopalatopharyngoplasty(UPPP) and PHS.Two patients underwent PHS after UPPP 1~2 years Results:In 4 patients underwent PHS,2 were cured,1 prominently improved,1 improved;in 2 patients underwent UPPP and PHS,1 was cured,1 prominently improved;in 2 patients underwent PHS after UPPP 1~2 years,1 prominently improved,1 improved Conclusion:PHS management of OSAS with collapse at the retrolingual air way is efficacious,slight injurious without side effect and is more readily accepted by patients.PHS may be one management of OSAS with obstruction at the retrolingual air way
出处
《广西医学》
CAS
2002年第8期1141-1143,共3页
Guangxi Medical Journal
基金
广西留学回国人员科学基金资助 (基金编号桂科回963 2 0 0 7)
关键词
舌骨翻转术
阻塞性睡眠呼吸暂停综合征
舌根后气道阻塞
Partial hyoid subvolution
Obstructive sleep apnea syndrome
Retrolingual air way
Obstruction
