摘要
目的：探讨舌骨悬吊联合腭咽成型手术治疗重症睡眠呼吸暂停低通气综合征的手术方法和效果。方法：对22例符合重症阻塞性睡眠呼吸暂停低通气综合征标准的患者进行了改良的舌骨悬吊联合腭咽成型手术，并对所有的患者进行了随访，对17例患者进行了手术前后的舌咽平面间隙的测量和睡眠呼吸监测。结果：随访结果显示，17例术后6、12个月两项睡眠监测指标均较术前有明显改变（P〈0．01），舌-咽距离由术前5．00-9．00mm（平均为7．06mm），增加到术后的9．00—13．00mm（平均为11．00mm）。打鼾症状明显减轻或消失，呼吸暂停次数明显减少，白天嗜睡消失或基本消失，精力充沛。根据杭州疗效评定标准，术后6个月及1年的有效率均为100％，但治愈率和显效率有所变化。结论：改良的舌骨悬吊联合腭咽成型手术简单，时间短，花费少，效果好，值得临床推广。
Objective： To discuss the method and therapeutic effect of hyoid suspension in association with uvolopalatopharyngoplasty （UPPP） in treatment of severe obstructive sleep apnea hypepnea syndrome （OSAHS）. Methods： Improved hyoid suspension in association with UPPP was performed in 22 patients with severe OSAHS. The gap of glossopharyngeum level and pelysomnogram （PSG） were examined pre- and pest-operatively in 17 patients. Results： The above two PSG indexes of the 6 and 12 months improved significantly （ P 〈 0.01）. The telorism of tongue and pharynx was 5 -9 mm （mean 7.06 mm） before surgery and reached 9 - 13 mm （mean 11 mm） after surgery. Snoring and sleep apnea disappeared or lessened, with the disappearance or decrease of lethargy at daytime. According to the assessment guidelines, the response rate was 100% and 70% 6 months and 1 year after the operation, but the curative and response rates varied. Conclusion： Hyoid suspension in association with UPPP has the advantages of simple operation, less hospital stay and cost, and ideal effect.
出处
《山东大学耳鼻喉眼学报》
CAS
2006年第3期201-203,共3页
Journal of Otolaryngology and Ophthalmology of Shandong University
关键词
睡眠呼吸暂停综合征
舌骨
腭咽成型手术
Sleep apnea hypopnea syndrome
Hyoid
Uvolopalatopharyngoplasty
