电子鼻咽喉镜对阻塞性睡眠呼吸暂停低通气综合征术后效果预测的研究  

Post-operation effect of the fibroptic pharyngoscopy in patients with obstructive sleep apena-hypopnea syndrome

作　　者：王锐[1] 蔡昌枰[2] 王士礼[2] 张浩[2] 何士方[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院卢湾分院耳鼻咽喉科,上海200025 [2]上海交通大学医学院附属瑞金医院耳鼻喉科

出　　处：《中国中西医结合耳鼻咽喉科杂志》2015年第2期94-96,共3页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的通过计算机辅助下电子鼻咽喉镜检查结合Müller检查法研究口咽部阻塞为主的OSAHS患者腭咽成形术后效果与口咽部阻塞程度之间的相关性。方法通过电子鼻咽喉镜结合Müller检查法选取阻塞平面在口咽部的OSAHS患者17例,行多导睡眠呼吸监测,记录Epworth嗜睡量表评分,并于患者行悬雍垂腭咽成形术术后一年进行随访,再次记录Epworth嗜睡量表评分,以改变率来评估术后效果。结果口咽部阻塞程度可以评估OSAHS病情程度,与术后效果显著相关。结论术前计算机辅助下电子鼻咽喉镜结合Müller检查法能在一定程度上预估UPPP术后效果。Objective To investigate the correlation between narrowing rate in oropharynx and post-operation effect in patients with obstructive sleep apnea-hypopnea syndrome（OSAHS）, using computer assisting fiberoptic pharyngocopy with Müller maneuver（CFPMM）. Methods Seventeen patients confirmed by polysomnography as OSAHS were enrolled in this study. Every subject completed Epworth Sleepiness Scale questionnaire before and one year after uvulopalatopharyngoplasty. CFPMM was performed to observe the narrowing site of upper airway in every subject. Then the data were analyzed and compared. Results High rate of narrowing rate could indicate the OSAHS patient was more serious. There was significant correlation between oropharyngeal narrowing rate and postoperative effect. Conclusion CFPMM could predict the preoperative effect in some degree.

关 键 词：阻塞性睡眠呼吸暂停 光纤内镜 Müller检查法 

分 类 号：R766[医药卫生—耳鼻咽喉科]