经口舌根梭形切除治疗阻塞性睡眠呼吸暂停低通气综合征的临床疗效  

Application of midline partial glossectomy for OSAHS

作　　者：康全清[1] 周晓红[1] 许珉[1] 郑国玺[1] 石季[1] 马伟军[1] 

机构地区：[1]西安交通大学第二医院耳鼻咽喉科,西安710004

出　　处：《临床耳鼻咽喉头颈外科杂志》2007年第6期241-243,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨应用舌根梭形切除术治疗中重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效。方法:中重度OSAHS患者40例,X线动态睡眠摄影判断阻塞平面在软腭及舌根水平,全身麻醉下先行UPPP,同期行舌根梭形切除术。结果:OSAHS患者平均AHI由62.39±21.68减少至18.60±5.01(P<0.01),平均最低SaO2由(64.40±14.96)%升高到(88.39±9.21)%(P<0.01)。综合疗效评价:显效29例(72.5%),有效8例(20.0%),无效3例(7.5%),总有效率92.5%。结论:舌根梭形切除术治疗以舌根部肥大造成的气道狭窄之OSAHS很有效,无言语、味觉及吞咽功能障碍,可作为治疗OSAHS的手术方法之一。Objective：To evaluate the prospective effect of applying midline partial glossectomy with Uvulopalatopharyngoplasy in the treatment of OSAHS. Method： The data of 40 patients with OSAHS operated with midline partial glossectomy with UPPP were analyzed. Result.. The follow-up polysomnography（6-month follow-up） revealed that the mean apnea and hyponea index decreased from 62. 39±21.68 to 18. 60±5.01（ P 〈0.01）, and the mean minimal oxygen saturation（SaO2） increased from 64.40 % ±14.96 % to 88.39 % ±9.21% （ P 〈 0.01 ）. In general, 29 patients were with excellent curative effect,8 with good effect, and 3 with bad effect. Total effective rate was 92.5 %. Conclusion：The study confirms that the same-stage midline partial glossectomy with UPPP for OSAHS is a safe and effective procedure.

关 键 词：舌根梭形切除术 睡眠呼吸暂停低通气综合征 阻塞性 悬雍垂腭咽成形术 

分 类 号：R563.8[医药卫生—呼吸系统]