摘要
目的探讨综合治疗法对阻塞性睡眠呼吸暂停综合征(OSAS)的疗效。方法对43例OSAS患者行Ⅰ期改良腭咽成形术,对疗效不理想的22例Fujita Ⅱ型患者续行Ⅱ期舌根射频等离子消融术。结果经术后6个月PSG监测,Ⅰ期手术有效率为21/43例占49%,Ⅰ期+Ⅱ期手术总有效率为38/43例占88%。结论Ⅰ期改良腭咽成形术仅适用腭咽狭窄型OSAS患者,但对咽气道多平面狭窄型者,需续行Ⅱ期舌根射频等离子消融术。强调OSAS的治疗应采取多次、多部位、多方法的一系列综合治疗法。
Purpose To investigate that complex treatment with multiple methods the therapeutic results of OSAS (obstructive sleep apnea syndrome, OSAS). Methods 43 cases of OSAS patients underwent primary modified palatopharyngoplasty. 22 cases of Fujita type Ⅱ patients whose therapeutic results were not so effective as anticipated continued to undergo secondary radiofrequency ionic obliteration of radix linguae. Results Six months after operation, polysomnography examination showed that the total effective rate of one-phase operation was 21/43(49%) and the total effective rate of two-phase operation was 38/44( 88 % ) . Conclusion Primary modified palatopharyngoplasty was effective to treat the OSAS patients with platopharyngeal stenosis only. But the patients in many regions stenosis is should undergo secondary radiofrequency ionic obliteration of radix linguae. It emphasized that complex treatment in many regions for many rimes multiple methods should be used on the OSAS patients.
出处
《中国眼耳鼻喉科杂志》
2003年第1期15-17,共3页
Chinese Journal of Ophthalmology and Otorhinolaryngology
关键词
综合治疗
阻塞性睡眠呼吸暂停综合征
腭咽成形术
Obstructive sleep apnea syndrome
uvulopalatopharyngoplasty(UPPP)
Complex treatment
