悬雍垂腭咽成形术对OSAHS患者咽喉反流的影响  

The Effect of Uvulopalatopharyngoplasty on Laryngopharyngeal Reflux in Patients with OSAHS

作　　者：丹静静[1] 陶树东[1] 阎朝晖[1] Dan Jingjing;Tao Shudong;Yan Zhaohui(Department f Otlarynglgy-Head and Neck Surgery,Tianjin Third Central Hspital,Tianjin,300211,China)

机构地区：[1]天津市第三中心医院耳鼻咽喉头颈外科天津市肝胆疾病研究所天津市人工细胞重点实验室卫生部人工细胞工程技术研究中心

出　　处：《听力学及言语疾病杂志》2020年第1期53-56,共4页Journal of Audiology and Speech Pathology

摘　　要：目的探讨悬雍垂腭咽成形术(uvulopalatopharyngoplasty,UPPP)对阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea-hypopnea syndrome,OSAHS)患者咽喉反流(layrngopharyngeal relfux, LPR)的影响。方法对62例确诊为OSAHS的患者行UPPP手术,分别在术前、术后6个月时填写反流症状指数(reflux symptom index,RSI)和反流体征评分(reflux fineling score,RFS)量表,比较患者手术前后的症状及RSI、RFS评分结果。结果术后6个月时,患者睡眠打鼾、呼吸暂停和白天嗜睡等症状较术前均有明显改善。术前RSI>13分和/或RFS>7分的患者共24例(38.71%,24/62),术后6个月仅5例(8.06%,51/62)。术后6个月时,RSI和RFS量表总分较术前显著降低(P<0.01),除了吞咽困难和肉芽肿2个分项外,其余各分项评分差异均有统计学意义(P<0.05)。结论 UPPP手术可明显缓解OSAHS患者咽喉反流症状。Objective To investigate the effect of uvulopalatopharyngoplasty(UPPP) on laryngopharyngeal reflux(LPR) in patients with obstructive sleep apnea hypopnea syndrome(OSAHS).Methods A total of 62 patients who underwent UPPP for OSAHS were recorded the reflux symptom index(RSI) and the reflux finding scores(RFS) before and 6-month after surgery.Results The mean RSI score before surgery was 11.39±5.04, but decreased to 4.45±3.91 after surgery(P<0.01). Each variable of the RSI decreased significantly after surgery(P<0.05), except for difficulty with swallowing. The mean RFS score before surgery was 5.81±4.45, but decreased to 1.74±2.19 after surgery(P<0.01). Each variable of the RFS decreased significantly after surgery(P<0.05), except for granuloma.Conclusion UPPP can significantly relieve the symptoms of laryngopharyngeal reflux in patients with OSAHS.

关 键 词：悬雍垂腭咽成形术 咽喉反流 反流症状指数 反流体征评分 

分 类 号：R766.1[医药卫生—耳鼻咽喉科]