同期悬雍垂腭咽成形术联合颏前移术治疗OSAHS近期疗效观察  

Uvulopalatopharyngoplasty with genioglossus advancement for obstructive sleep apnea-hyponea syndrome

作　　者：吴允刚[1] 张辉[1] 杨欣欣[1] 李晓瑜[1] 庞太忠[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：《临床耳鼻咽喉头颈外科杂志》2014年第1期21-23,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：山东省自然科学基金(No:ZR2010HL045);济宁医学院青年基金;济宁市科技局基金项目

摘　　要：目的:探讨同期悬雍垂腭咽成形术(UPPP)加颏前移术治疗OSAHS的近期疗效。方法:将40例OSAHS患者分A、B组,A组行UPPP加颏前移术,B组行UPPP。术后6个月行多导睡眠监测,比较术前、术后的变化。结果:A组有效率为100%,B组有效率为85%。A、B组术后AHI、LSaO2及嗜睡评分与术前比较均差异有统计学意义(均P<0.05)。结论:同期UPPP加颏前移术治疗OSAHS效果可靠,值得推广。Objective：TO investigate the clinical efficacy of uvulopalatopharyngoplasty（UPPP） with genio- glossus advancement for patients with obstructive sleep apnea-hypopnea syndrome（OSAHS）. Method： Forty OS- AHS patients were divided to A,B groups. Group A underwent UPPP with genioglossus advancement, Group B underwent UPPP. The study compared average apnea-hypopnea index（AHI） before and after operation, compared the results of group A and B. Result：The average AHI of the two groups were declined, 6 months afer operation. The efficacy of group A was better than that of group B. Conclusion：UPPP with genioglossus advancement is an a- vailable and relatively safe surgical approach in OSAHS patients.

关 键 词：睡眠呼吸暂停低通气综合征 阻塞性 悬雍垂腭咽成形术 颏前移术 

分 类 号：R563.8[医药卫生—呼吸系统]