摘要
目的探讨影响Z形腭咽成形术(Z-palatopharyngoplasty,ZPPP)一期联合颏舌肌前移舌骨悬吊术(genioglossus advancement and hyoidsuspension,GAHM)治疗重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)手术疗效的可能因素。方法 26例存在腭咽及舌咽平面阻塞的重度OSAHS患者,术前行Friedman分型,同期行ZPPP联合GAHM手术,术后至少6个月复查。采用t检验和χ2检验分析手术前、后各相关参数的变化。结果舌位分度II度患者的手术成功率为100%,III度患者手术成功率为33.3%,IV度患者无一例手术成功,差异有统计学意义(P<0.05)。手术成功与失败者的AHI、最低血氧饱和度、腭咽和舌咽塌陷度以及扁桃体大小均无统计学差异。结论舌位分度是ZPPP联合GAHM手术疗效的有效预测因素。
OBJECTIVE To explore prediction of success rate of genioglossus advancement and hyoid suspension plus Z-palatopharyngoplasty. METHODS Twenty six patients with severe OSAHS were performed genioglossus advancement and hyoid suspension （GAHM） plus ZPPP. The obstruction levels were in both the oropharynx and the hypopharynx. The time of follow up was at least 6 months postoperatively. The Wilcoxon Signed Rank test and Paired-Samples t test were used to compare the preoperative and postoperative results by SPSS11.0 for windows. RESULTS Successful rate for patients with tongue position Ⅱ was 100%, tongue position Ⅲ was 33.3%. No patients with tongue position IV were treated successfully. Clearly, patients with tongue position Ⅱ had the best success rate. There were no correlation between apnea and hypopnea index （AHI） , lowest SaO2 （/SaO2） , CT90% and success rate of ZPPP plus GAHM. CONCLUSION Tongue position can predict success rate of ZPPP plus GAHM
出处
《中国耳鼻咽喉头颈外科》
CSCD
2013年第3期141-143,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
