摘要
目的探讨阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopneasyndrome,OSAHS)外科治疗的解剖形态学基础。方法小下颌畸形伴 OSAHS 患者共9例,平均年龄28.6岁(18～39岁),所有患者均经正颌外科和(或)颌骨牵引成骨治疗,手术前、后行多道睡眠监测仪监测及螺旋 CT 扫描,分别评价手术疗效并比较患者上气道三维结构的变化。结果 9例患者经外科治疗后均达临床治愈标准;手术后上气道的矢状径、横径、横截面积及容积均较术前明显增加,其中矢状径的增加最显著,变化主要发生在口咽及舌咽,喉咽变化不明显。结论正颌外科及颌骨牵引成骨是使腭咽及舌咽的矢状径增加从而有效治疗小下颌畸伴 OSAHS。
Objective To investigate the morphologic changes of upper airway in obstructive sleep apnea and hypopnea syndrome（OSAHS） associated with micrognathism before and after orthognathic surgery and distraction osteogenesis, and subsequently to instruct clinical jobs effectively. Methods Nine OSAHS patients associated with micrognathism （ 8 males, 1 female, mean age： 28.6 years ） received orthognathic surgery and（or） distraction osteogenesis, and the curative effect was evaluated according to the subjective feelings and PSG. Upper airway structure before and after the treatment was measured by Somatom Sensation 16 CT scarier . Results All 9 patients were clinically cured. The transverse length, the cross section area, and especially the sagittal length of the upper airway were obviously increased after the orthognathic surgery. The changes involved mainly in the velopharyngeal region and the lingopharyngeal region, but not in the laryngopharyngeal region. Conclusions The orthognathic surgery and distraction osteogenesis can treat the OSAHS patients with microgonathism effectively by increasing their velopharyngeal and lingopharyngeal sagittal length of upper airway.
出处
《中华口腔医学杂志》
CAS
CSCD
北大核心
2007年第4期195-198,共4页
Chinese Journal of Stomatology
