腭帆成形术治疗Ⅱ型阻塞性睡眠呼吸暂停低通气综合征的疗效分析  

Efficacy of velopharyngoplasty for treating obstructive sleep apnea hypopnea syndrom

作　　者：白文忠[1,2] 孙建军[2] 孔维佳[1] 袁伟[2] 胡燏[2] 章榕[2] 孙玉梅[2] 

机构地区：[1]华中科技大学同济医学院附属协和医院耳鼻咽喉-头颈外科,武汉430022 [2]北京海军总医院全军耳鼻咽喉-头颈外科中心

出　　处：《临床耳鼻咽喉头颈外科杂志》2009年第11期496-498,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨腭帆成形术(VPP)的手术适应证,近期疗效及其影响因素。方法:对30例经PSG确诊阻塞性睡眠呼吸暂停低通气综合征患者实行VPP,随诊6～11个月,并进行术中腭咽结构解剖标志的测量。结果:AHI由术前54.6±18.3降至术后25.3±9.5,ESS评分由术前的16.5±4.8降至术后的5.2±4.1,近期有效率为70.0%。结论:VPP通过软腭重塑、瘢痕收缩和扁桃体切除,可达到明显提升腭帆、扩大口咽气道的目的。Objective： To investigate the indication, efficacy and inflencing factors of velopharyngoplasty for treating of obstructive sleep apnea hypopnea syndrome（OSAHS）. Method： Thirty OSAHS patients were included in this study, all cases had velopharyngoplasty. The follow-up period was between 6 to 11 months;and a series of measurements parameters was analysed for thirty cases. Result：When compared preoperatively and postoperatively, Apnea and hypopnea index（AHI） decreased from 54.6±18.3 to 25.3±9.5;and the Epworth sleep scale decreased from 16.5±4.8 to 5.2±4.1. According to related criterion in China, the effective rate was 70.0%. Conclusion：Velopharyngoplasty can upgrade the venlopalate and enlarge the space of the oropharynx by remodeling of soft palate, contraction of scar and removal of the tonsils.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 外科手术 腭帆成形术 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]