摘要
目的探讨悬雍垂腭咽成形术(UPPP)联合Repose舌根牵引固定术治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的临床效果。方法选择我院2019年1月至2020年12月收治的80例OSAHS患者为研究对象,采用随机数字法将其分为UPPP组和联合组,每组40例。UPPP组采用UPPP术治疗,联合组在UPPP组基础上联合Repose舌根牵引固定术治疗。比较两组的临床疗效,手术前、后的X线测量参数[下咽气道间隙(V-LPW)、后气道间隙(PAS)、舌骨与下颚垂直距离(MPH)]和呼吸暂停低通气指数(AHI),并发症发生情况。结果联合组的治疗总有效率为92.50%,显著高于UPPP组的75.00%,差异具有统计学意义(P<0.05)。手术前,两组患者的X线测量参数和AHI比较,差异无统计学意义(P>0.05);手术后,联合组的V-LPW、PAS显著高于手术前及UPPP组,AHI显著低于手术前及UPPP组(P<0.05);手术后,两组的MPH均显著高于手术前,差异具有统计学意义(P<0.05),但两组间比较,差异无统计学意义(P>0.05)。联合组的并发症总发生率为12.50%,与UPPP组的7.50%比较,差异无统计学意义(P>0.05)。结论UPPP联合Repose舌根牵引固定术治疗OSAHS患者,可提高治疗效果,有利于气道塌陷的恢复与重塑,安全性较高,具有一定的临床应用价值。
Objective To investigate the clinical effect of uvulopalatopharyngoplasty(UPPP)combined with Repose tongue root traction and fixation in the treatment of obstructive sleep apnea hypopnea syndrome(OSAHS).Methods A total of 80 patients with OSAHS treated in our hospital from January 2019 to December 2020 were selected as the research objects.The patients were divided into UPPP group and combined group using random number method,with 40 cases in each group.The UPPP group was treated with UPPP,and the combined group was treated with Repose tongue root traction and fixation on the basis of the UPPP group.The clinical efficacy,X-ray measurement parameters[vallecula epiglottica-latheral pharyngeal wall(V-LPW),posterior airway space(PAS),pharyngeal length,distance between the mandible and hyoid bone(MPH)]and apnea hypopnea index(AHI)before and after operation and complications were compared between the two groups.Results The total effective rate of treatment in the combined group was 92.50%,which was significantly higher than 75.00%in the UPPP group,and the difference was statistically significant(P<0.05).Before operation,there were no significant differences in X-ray measurement parameters and AHI between the two groups(P>0.05);after operation,V-LPW and PAS in the combined group were significantly higher than those before operation and the UPPP group,and AHI was significantly lower than those before operation and the group,the differences were statistically significant(P<0.05);after operation,the MPH of the two groups were significantly higher than that before operation(P<0.05),but there was no significant difference between the two groups(P>0.05).The total incidence of complications in the combined group was 12.50%,which was not significantly different from 7.50%in the UPPP group(P>0.05).Conclusion UPPP combined with Repose tongue root traction and fixation in the treatment of OSAHS patients can improve the therapeutic effect,which is conducive to the recovery and remodeling of airway collapse,has high safety,and has certain clinical application value.
作者
徐纯栋
朱冠龙
姜婷婷
张才云
XU Chundong;ZHU Guanlong;JIANG Tingting;ZHANG Caiyun(Otolaryngology Department,the People's Hospital of Funing County,Yancheng 224400;Otolaryngology Head and Neck Surgery Department,Changhai Hospital,Shanghai 200000,China)
出处
《临床医学研究与实践》
2021年第27期100-102,109,共4页
Clinical Research and Practice
