轻及中度阻塞性睡眠呼吸暂停低通气综合征术式选择  

Relationship of operative approaches and prog-nosis in mild and moderate obstructive sleep ap-nea hypopnea syndrome

作　　者：王琳[1] 朱优力[1] 马崧[1] 谢为民[1] 

机构地区：[1]河南省人民医院耳鼻咽喉科,河南郑州450003

出　　处：《中国耳鼻咽喉头颈外科》2005年第7期461-462,共2页Chinese Archives of Otolaryngology-Head and Neck Surgery

基　　金：河南省科技攻关项目(No:0324410044)

摘　　要：目的探讨轻、中度阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)患者不同腭咽成形术(uvulopala to pharygoplasty,UPPP)术式选择与预后的关系。方法经多导睡眠监测(polysomnography,PSG)及Muller动作纤维喉镜行上气道检查,确诊轻、中度OSAHS患者66例,阻塞平面在口咽部(Ⅱ型),行不同术式UPPP治疗一年后进行随访,比较术前及术后一年的数据,对其资料行统计学处理后进行分析。结果66例患者中,采用软腭部分切除的36例与不行软腭部分切除的30例,其睡眠呼吸暂停低通气指数(apnea hypopneaindex,AHI)有明显不同,前者明显低于后者,P<0.001;术后每小时呼吸暂停次数前者远比后者少,P<0.05。结论轻、中度OSAHS患者行UPPP治疗时,应选择行软腭部分切除术式,其术后各项指标可达正常。OBJECTIVE To explore the relationship between operative approaches and prognosis in mild and moderate obstructive sleep apnea hypopnea syndrome patients （OSAHS）. METHODS Sixty six patients with OSAHS were included in this study.Polysomnography and fiberal laryngoscopy were examined before and after uvulopalatopharyngoplasty（UPPP）.RESULTS The apnea hypopnea index（AHI） and apnea index （AI） in patients with partial soft palate resection were significantly lower than that in patients without soft palate resection（P 〈 0.05）.CONCLUSION Partial soft palate resection is an effective method in surgical management of OSAHS patients.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 手术治疗 纤维喉镜 腭咽成形术 

分 类 号：R766[医药卫生—耳鼻咽喉科]