摘要
目的:探讨同期联合应用多个平面手术的方法治疗重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效及临床意义。方法:93例患者经PSG确诊为重度OSAHS。术前进行明确的阻塞平面定位,均为多平面阻塞,根据阻塞平面的不同采取相应的手术方法进行治疗。全部患者在术前、术后6个月及1年均进行临床随访和PSG监测。结果:手术均未出现严重并发症,全部患者至少随访1年。术后6个月疗效评定示:治愈66例(70.97%),显效14例(15.03%),有效13例(13.98%),总有效率为100%。术后1年疗效评定示:治愈51例(54.84%),显效22例(23.66%),有效12例(12.90%),无效8例(8.60%),总有效率为91.40%。行舌骨前徙悬吊术的患者X线头影测量指标(后气道间隙、舌骨前上点至下颌平面的距离)均有显著改善(均P<0.01)。结论:重度OSAHS患者大多存在上气道多平面解剖结构的阻塞,鼻腔、腭咽平面及舌咽平面阻塞者常见。根据阻塞平面进行同期行多平面联合手术治疗可提高疗效。手术方案应根据患者上气道阻塞情况和接受程度等具体制定。
Objective：To investigate the effect and clinical value of simultaneous multiple plane operations in treating severe OSAHS.Method：The clinical data of 93 patients with severe OSAHS were retrospective1y analyzed.According to different obstruction plane,all the patients were performed different multiple planes of operations.Operations were finished in the same term.All patients underwent PSG examination before operation and 6-month,1-year after surgical treatment separately.Result：No severe complication occurred.According to the assessment guidelines,the response rate was 100% in 6-month and 91.40% in 1-year respectively.Conclusion：Most OSAHS have multi-level obstructions in upper airway caliber,such as nasal,nasopharyngeal,velo-pharyngeal and tongue-pharyngeal obstruction.Simultaneous multiple plane operations which based on multiple plane obstruction can improve curative effect.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2011年第9期392-394,398,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
