改良悬雍垂腭咽成形术治疗阻塞性呼吸暂停综合征的疗效分析  

Efficacy of modified uvula palatopharyngeal plasty in the treatment of obstructive sleep apnea syndrome

作　　者：蒋晓平[1] 任晓东[1] 崔北权[1] 温碧龙 陈湘泉[1] 

机构地区：[1]重庆三峡中心医院耳鼻咽喉科,重庆万州404000

出　　处：《重庆医学》2014年第4期430-431,共2页Chongqing medicine

摘　　要：目的探讨改良悬雍垂腭咽成形术在手术治疗睡眠呼吸暂停综合征(OSAHS)疗效。方法收集该科2006年6月至2010年6月的OSAHS患者145例,其中54例采取传统悬雍垂腭咽成形术(UPPP),其余91例采用改良UPPP。根据术前及术后多导睡眠监测图(PSG)对其疗效对照分析。结果术后随访1年,在145例OSAHS病例中,术后较术前PSG呼吸暂停总时间(AI)、呼吸暂停及低通气指数(AHI)、最低氧饱和度(SaO2)差异有统计学意义(P<0.05),改良UPPP在术后恢复过程中主观症状如咽干、开放性鼻音、鼻咽返流症状较传统UPPP术式明显减轻。结论改良UPPP手术治疗OSAHS具有良好的疗效。Objective To explore the efficacy of modified uvula palatopharyngeal plasty in the treatment of obstructive sleep ap-nea syndrome（OSAHS） .Methods 145 cases of OSAHS patients were treated from June 2006 to June 2010 in our hospital ,of which 54 were treated by traditional UPPP surgery ,and the remaining 91 cases were treated by h-UPPP surgery .Compared its effi-cacy by the preoperative and postoperative polysomnography map （PSG） analysis .Results In 145 cases of patients with OSAHS , the PSG monitoring indicators of 1 year after surgery were compared with preoperative ,and there were significant difference in the apnea total time（AI） ,the breathing hypopnea index（AHI） ,the lowest oxygen saturation（SaO2 ）（P〈0 .05） .The subjective symp-toms in postoperative recovery process of modified UPPP ,such as dry throat ,open nasal ,nasopharyngeal reflux symptoms were sig-nificantly reduced than that of traditional UPPP surgery .Conclusion h-UPPP surgery have a good effect .

关 键 词：睡眠呼吸暂停综合征 悬雍垂腭咽成形术 多导睡眠图 

分 类 号：R766[医药卫生—耳鼻咽喉科]