阻塞性睡眠呼吸暂停低通气综合征不同术式的选择  

Selection of difference operative form for treatment of obstractive sleep apnea hypopnea syndrome

作　　者：王明方 黄世铮 赵杰 李宁 

机构地区：[1]桂林市人民医院耳鼻咽喉科,桂林541002

出　　处：《广西医学》2006年第7期987-989,共3页Guangxi Medical Journal

基　　金：广西留学回国人员科学基金项目(桂科回96320047)

摘　　要：目的 探讨治疗阻塞性睡眠呼吸暂停综合征（OSAHS）不同阻塞平面的不同手术方式。方法 对31例鼾症病人应用多导睡眠监测仪诊断OSAHS，纤维喉镜Muller＇s法及X线头颅侧住测量，判断咽部不同阻塞平面。结果 23例口咽部平面阻塞行悬雍垂腭咽成型术（UPPP）或改良UPPP术，显效16例，改善4例，无效3例。8例下咽部平面阻塞者行舌骨翻转术4例，显效3例，改善1例；2例行UPPP＋舌骨翻转术均显效；2例行UPPP术后1～2年效果不佳，再行舌骨翻转术，1例显效，1例改善．结论对于OSAHS患者咽部不同阻塞平面,应该针对性采取不同手术方式，以求达到最佳治疗效果。Objective To study treatment of obstructive sleep apnea hypopnea.syndrome （OSAHS） obstruction of pharynx at different multilevel.Method 31 Snorers were examine by polysnomnography PSG,Fibroid pharyngoscope with mullers,x-my photographic eephalometric measurement to decide the variousobstractive levels of pharynx. Result 23 OSAHS cases were treated with UPPP, 16 cases were significantly improved,4 cases improved,3 eases failed.4 cases were taken a partial hyroid subvolution PHS,3 cases were significantly improved and one improved.20SAHS cases were taken UPPP ＋ PHS combination operation, 2 casesirn significandy improved.2 cases underwent phased operation, one significantly proved,the other one improved. Conclusion To OSAHS patients with different obstruction level of phyrynx should select differen adaptive operation form to obtain best result.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 悬雍垂腭咽成型术 舌骨翻转术 联合手术 分期手术 

分 类 号：R767.12[医药卫生—耳鼻咽喉科]