上气道肿瘤引发的阻塞性睡眠呼吸暂停低通气综合征误诊分析  

MISDIAGNOSIS OF OBSTRUCTIVE SLEEP APNEA HYPOPNEA SYNDROME CAUSED BY TUMORS OF UPPER AIRWAY

作　　者：宋杰[1] 张庆泉[1] 宋西成[1] 张天振[1] 孙岩[1] 张华[1] 

机构地区：[1]烟台毓璜顶医院耳鼻咽喉科,山东烟台264000

出　　处：《青岛大学医学院学报》2005年第1期38-39,共2页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：①目的　探讨上气道肿瘤所致的阻塞性睡眠呼吸暂停低通气综合征的诊断和治疗方法。②方法对16例上气道肿瘤所致的阻塞性呼吸睡眠暂停低通气综合征的病人进行分析。③结果　16例中有12例被误诊误治,误诊部位最多的是下咽部和鼻咽部。16例病人中11例手术后阻塞性睡眠呼吸暂停低通气综合征的症状消失,5例病人症状减轻。④结论　对阻塞性睡眠呼吸暂停低通气综合征的病人应进行仔细的上气道检查和全面体检,方不至于误诊误治。Objective To study the diagnosis and treatment of obstructive sleep apnea hypopnea syndrome(OSAHS) induced by tumors of the upper airway(UA). Methods Sixteen OSAHS cases induced by UA were reviewed. Results Twelve patients were misdiagnosed and mistreated. The misdiagnoses occurred mainly in the hypopharynx and nasopharynx. After operation, the OSAHS symptoms disappeared in 11 patients and relieved in the other five. Conclusion To avoid misdiagnosis and mistreatment for OSAHS patients, general examination should be carried out carefully and the UA be checked in particular.

关 键 词：鼻肿瘤 咽肿瘤 喉肿瘤 睡眠呼吸暂停综合征 误诊 

分 类 号：R739.6[医药卫生—肿瘤]