摘要
目的探讨分期行鼻腔扩容术及悬雍垂腭咽成形术(UPPP)治疗合并Ⅰ、Ⅱ型阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的意义和疗效。方法对合并Ⅰ、Ⅱ型的重度OSAHS患者44例先施行鼻腔扩容手术,3个月后行UPPP,分两次解除不同平面上气道阻塞,UPPP术后3个月及6个月观察患者术后主客观症状改善情况。结果术后所有患者经多导睡眠监测(PSG)显示低通气指数(AHI)、最低血氧饱和度(LSa O2)指标较术前均有明显改善,呼吸暂停、打鼾症状消失或不同程度减轻,但术后6个月中度打鼾有明显增多的趋势。结论分期手术治疗合并Ⅰ、Ⅱ型OSAHS疗效明显,但治疗后打鼾程度的远期疗效尚有待观察。
Objective To explore the efficacy of staged operation in the treatment of obstructive sleep apnea hypopnea syndrome（ OSAHS） diagnosed as type Ⅰ and Ⅱ simultaneously. Methods The OSAHS patients with nasal structural abnormalities underwent nasal cavity expansion surgery and uvelopalatopharyngoplasty 3 monthes later. Postoperative improvement were observed respectively 3 months and 6 months later. Results The symptoms of apnea and snore were improved,while AHI,LSa O2 were significantly improved postoperatively. However,moderate snoring gradually appeared 6 months after the surgery. Conclusion The nasal cavity expansion surgery and uvelopalatopharyngoplasty to treat OSAHS demonstrates obvious curative effects,but long term snoring warrants further observation.
出处
《山东大学耳鼻喉眼学报》
CAS
2015年第4期1-3,共3页
Journal of Otolaryngology and Ophthalmology of Shandong University
基金
佛山市科技局医学类科技攻关项目(2014AB001953)
顺德区卫计局医学科研立项(2313012)
关键词
睡眠呼吸暂停
阻塞性
扩容术
悬雍垂腭咽成形术
Sleep apnea hypopnea syndrome
obstructive
Expansion surgery
Uvelopalatopharyngoplasty
