同期鼻腔手术+悬雍垂腭咽成型术治疗阻塞性睡眠呼吸暂停低通气综合征  

One-stage nasal surgery and uvulopalatopharyngoplasty for obstructive sleep apnea-hyponea syndrome

作　　者：庞太忠[1] 吴允刚[1] 李晓瑜[1] 马林祥[1] 丁德涛[1] 黄萌萌[1] 王彩华[1] 张永红[1] 张辉[1] 

机构地区：[1]济宁医学院附属医院耳鼻咽喉头颈外科,山东济宁272029

出　　处：《山东大学耳鼻喉眼学报》2012年第3期7-9,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：山东省自然基金(ZR2010HL045)

摘　　要：目的探讨同期鼻腔手术+悬雍垂腭咽成型术治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效情况。方法对40例伴有鼻阻塞的OSAHS患者分A、B两组,A组行鼻腔手术+悬雍垂腭咽成型术(UPPP),B组行悬雍垂腭咽成型术,术后6个月复查睡眠监测,比较术前术后呼吸暂停低通气指数(AHI)。结果 A、B两组OSAHS患者术后AHI平均值均降低,A组有效率较B组高。结论同期鼻腔手术+悬雍垂腭咽成型术治疗鼻腔、咽腔双平面阻塞的OSAHS患者效果可靠,值得推广。Objective To investigate the clinical efficacy of uvulopalatopharyngoplasty （UPPP） with nasal surgery for patients with obstructive sleep apnea-hypopnea syndrome（OSAHS）. Methods 40 OSAHS patients were divided into the A or B group, in which group A underwent UPPP with nasal surgery, which group B underwent only UPPP. The clinical results and the average apnea-hypopnea index （AHI） before and after the operation were compared. Results The average AHI were all decreased, however, the result of group A was better than the group B 6 months after the operation. Conclusion UPPP with nasal surgery is an available and relatively safe surgical approach for the OSAHS patients with nasal obstruction.

关 键 词：睡眠呼吸暂停 阻塞性 鼻腔手术 悬雍垂腭咽成型术 

分 类 号：R766.7[医药卫生—耳鼻咽喉科]