两种方式治疗阻塞性睡眠呼吸暂停低通气综合征的疗效比较  

Comparing between CAUP and UPPP in treatment of OSAHS

作　　者：熊志洁[1] 章松勤[1] 彭平[1] 向银洲[1] 

机构地区：[1]宜昌市第一人民医院耳鼻咽喉科,湖北宜昌443000

出　　处：《临床耳鼻咽喉头颈外科杂志》2008年第24期1123-1124,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:比较两种方式治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效。方法:OSAHS患者100例,随机分成2组,每组50例。等离子组采用等离子刀对患者上气道不同部位进行消融术,改良组采用改良悬雍垂腭咽成形术加舌根梭形切除术治疗,术后6个月及12个月用PSG随访。结果:等离子组术后6个月显效41例,有效8例,无效1例;术后12个月显效28例,有效13例,无效9例。改良组术后6个月显效44例,有效5例,无效1例;术后12个月显效43例,有效6例,无效1例。两组短期内疗效比较差异无统计学意义(P>0.05),12个月后疗效比较差异有统计学意义(P<0.01)。结论:改良悬雍垂腭咽成形术加舌根梭形切除术,不仅缓解了OSAHS患者的阻塞症状,而且对于并发症亦有明显疗效,手术安全、有效,术后反应轻,复发率低,值得推广。Objective： To evaluate the prospective effect of CAUP and applying midline partial glossectomy with UPPP in the treatment of OSAHS. Method：One hundred OSAHS patients were distributed into two groups averagely. The patients of the two groups had CAUP and rnidline partial glosseetomy respectively. All patients were followed-up 6 months and 12 months after operation and carried out using PSG every time. Result：Therapeutic effect was evaluated by standard of Hangzhou（2002）. In general, in 6 months,scurative effect was excellent in 41 patients of the group of CAUP , good in 8 patients with effect, bed effect in 1 patients; in 12 months, it was excellent in 28 patients, good in 13 patients, bed in 9 patients. In 6 months, the curative effect the other group were excellent in 44 patients , good in 5 patients, bed in 1 patients; In 12 months,it was excellent in 43 patients , good in 6 patients, bed in 1 patients. In 6 month , the results showed that the effect of the two methods was simi lar （P〉0.05）, but in 12 months the effect of group of CAUP was better than the other obviously （P〈0.01）. Conclusion：This operation could enlarge the narrow area of palatopharyngeal cavity effectively and decrease postop- erative complications. It＇s a safe effective and acceptable surgical procedure.

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

分 类 号：R563.8[医药卫生—呼吸系统]