摘要
目的:探讨重症阻塞性睡眠呼吸暂停低通气综合征(OSAHS)术前气管切开对UPPP/腭咽成形术(PPP)手术中、手术后严重并发症的预防作用以及对整个手术安全性的意义。方法:分析我科1998～2003年104例手术治疗的重症OSAHS患者,将其分为术前气管切开组和非气管切开组,重点分析两组患者术中、术后并发症的发生情况及严重性。结果:对重症OSAHS患者的治疗中,术前气管切开组并发症(尤其是危及生命的并发症)发生率(30.4%,7/23)明显低于非术前气管切开组(53.1%,43/81)。结论:对于重症OSAHS患者的治疗,术前气管切开是预防术中、术后严重并发症的有效措施,对确保手术的安全性十分必要。
Objective:Studying the value of preoperative tracheotomy in preventing obstructive sleep apnea-hypopnea syndrome(OSAHS) severe complications in preoperative and postoperative period of UPPP/PPP and the its significance in ensuring the safety of surgical operation.Method:One hurdred and four OSAHS severe cases were retrospective analysed from July 1998 to July 2003, and these cases were divided into tracheotomy group and non-tracheotomy group. Preoperative and postoperative complications of these cases were studied.Result:The incidence of complications especially severe complications endangering life in tracheotomy group was lower significantly than in non-tracheotomy group.Conclusion:It is very necessary to do tracheotomy preoperatively so as to preventing severe complications of OSAHS and ensuring the safety of surgical operation.
出处
《临床耳鼻咽喉科杂志》
CAS
CSCD
北大核心
2005年第9期394-395,共2页
Journal of Clinical Otorhinolaryngology
