阻塞性睡眠呼吸暂停低通气综合征患者多阻塞平面同期手术的耐受性观察  

The tolerance of contemporaneous multiplane operations in obstructive sleep apnea-hypopnea syndrome

作　　者：姜涛[1] 李宪华[1] 华娜[1] 金哲[1] 郭颖[1] 

机构地区：[1]大连大学附属中山医院耳鼻咽喉科,116001

出　　处：《中国医师进修杂志》2016年第5期447-449,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的观察阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者多阻塞平面同期手术的耐受性。方法入选OSAHS患者23例，其中行多阻塞平面同期手术患者13例（A组），根据阻塞平面选择不同术式完成上气道重建；行单纯腭咽平面阻塞10例（B组），采用双侧扁桃体切除术＋悬雍垂腭咽成形术（H-UPPP）。结果A组手术时间明显长于B组[（121．0±35．4）min比（80．7±25．3）min]，差异有统计学意义（P〈0．01），两组术后住院时间、不良事件发生率比较差异无统计学意义（P〉0．05）。结论为OSAHS患者制定个体化的治疗方案，同期处理多平面阻塞，可一次性解决上气道阻塞，完成上气道重建。与单纯处理腭咽平面阻塞相比虽然手术时间延长，但并无较多不良事件发生。Objective To observe the tolerance of contemporaneous multiplane operations in obstructive sleep apnea-hypopnea syndrome（OSAHS）. Methods Twenty-three patients were enrolled. According to the different obstructive level, the different operations were chosen to complete upper airway reconstruction in contemporaneous operation group （group A, 13 patients）. In the simple palatopharynx level obstructive group （group B, 10 patients）, bilateral tonsillectomy and H-UPPP was chosen. Results The operation time in group A was significantly longer than that in group B： （121.0 ± 35.4） min vs.（80.7 ± 25.3） min, P 〈 0.01. The hospital days and adverse events in two groups had no significantly difference （P 〉 0.05）. Conclusions Individual therapeutic schedule for OSAHS patients should be formulated. Operating the different obstructive levels simutaneously, which would solve upper airway occlusion and complete the upper airway reconstruction at the same time. No more adverse events happen, compared with the simple palatopharynx level obstructive group, though the operation time may be longer.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 多平面手术 悬雍垂腭咽成形术 

分 类 号：R766[医药卫生—耳鼻咽喉科]