观察舌骨甲状软骨悬吊术联合改良咽侧成形术应用于阻塞性睡眠呼吸暂停低通气综合征的治疗效果  

Contrast Observe the Therapeutic Effect of the Lateral Pharyngeal Angioplasty Joint Hyoid Thyroid Cartilage Suspension Surgery and the Lateral Pharyngeal Angioplasty are Applied to the Obstructive Sleep Apnea Hypopnea Syndrome

作　　者：刘三印 

机构地区：[1]三门峡市中医院耳鼻喉科,河南三门峡472001

出　　处：《中国医药指南》2014年第6期20-22,共3页Guide of China Medicine

摘　　要：目的观察改良咽侧成形术联合舌骨甲状软骨悬吊术手术治疗阻塞性睡眠呼吸暂停低通气综合征的治疗效果。方法本课题以2010年2月至2012年5月期间于我院诊断为OSAHS并且行手术治疗的患者为观测对象,采用回顾分析的研究方法,将临床资料完整的病例分为两组,一组采用改良咽侧成形术,一组采用改良咽侧成形术联合舌骨甲状软骨悬吊术,分别统计二者治疗前及治疗后6个月的PSG监测结果,并对其治疗效果及安全性进行评价。结果共计纳入有效病例47例,其中第一组26例,第二组21例。第一组治愈5例,显效11例,有效7例,无效3例,总有效率为88%;第二组治愈5例,显效12例,有效4例,无效0例,总有效率为100%。二者总有效率之间的差异有统计学意义(P<0.05)。结论改良咽侧成形术联合舌骨甲状软骨悬吊术治疗阻塞性睡眠呼吸暂停低通气综合征疗效安全可靠、操作简单方便、治愈率高,值得临床推广应用。Objective Observe the therapeutic effect of the uppp joint hyoid thyroid cartilage suspension surgery in for the treatment of obstructive sleep apnea hypopnea syndrome（OSAHS）. Methods The object observation of the subject is the patient who diagnosed with OSAHS, and treatmented buy surgical methods in our hospital during February 2010 to May 2012. Divid the complete clinical data into two groups by retrospective analysis. One set using the Lateral pharyngeal angiopIasty, anther Lateral pharyngeal angioplasty joint hyoid thyroid cartilage suspension surgery. Then statistics its PSG monitoring results that before treatment and 6 months after treatment, and evaluate its therapeutic effect and safety. Results A total of effective cases is 47 cases, including 26 cases of the first group, the second group of 21 patients. Five cases were cured, 11 cases were markedly effective effective in 7 cases, and 3 ineffective in the first group,so the total efficiency rate was 88%; 5 cases were cured, 12 cases were markedly effective effective in 4 cases, and zero ineffective in the second group,and the total efficiency rate was 100%. There was significant difference （P〈0.05）. Conclusion The improved velopharyngeal angioplasty joint hyoid thyroid cartilage sling procedure for the obstructive sleep apnea hypopnea syndrome is safe and reliable, and it has the advantages of simplly operat and has the higner cure rate. It＇s is worthy of clinical.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 舌骨甲状软骨悬吊术 改良咽侧成形术 

分 类 号：R76[医药卫生—耳鼻咽喉科] R563.8[医药卫生—临床医学]