三种术式治疗阻塞性睡眠呼吸暂停低通气综合征伴小颌畸形的疗效比较  

A comparative study of three operative methods in the treatment of obstructive sleep apnea hypopnea syndrome with micrognathia

作　　者：陈飞 布静秋 温伟生 CHEN Fei;BU Jing-qiu;WEN Wei-sheng(Department of Oral and Maxillofacial Surgery,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]中国人民解放军总医院第一医学中心口腔科,北京100853

出　　处：《北京口腔医学》2020年第3期153-155,共3页Beijing Journal of Stomatology

摘　　要：目的比较三种术式治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)伴小颌畸形的疗效。方法根据不同的术式将50位患者分为三组,A组:15例悬雍垂腭咽成形术(UPPP),B组:25例UPPP+颏前徙术,C组:10例UPPP+下颌升支矢状劈开前移术+颏前徙术。根据术前、术后睡眠监测各项数据及随访结果,评价其疗效,采用卡方检验对数据进行统计学分析。结果根据测量数据,单纯UPPP成功率为33.3%,UPPP+颏前徙术成功率为84.0%,UPPP+下颌升支矢状劈开前移术+颏前徙术成功率90.0%。UPPP+下颌升支矢状劈开前移术+颏前徙术的疗效优于UPPP+颏前徙术及UPPP术(P<0.05)。结论对于OSAHS伴小颌畸形患者采用UPPP+下颌升支矢状劈开前移术+颏前徙术联合术式疗效最好,应作为此类患者的首选术式。Objective To compare the clinical results of three different methods in the treatment of obstructive sleep apnea hypopnea syndrome(OSAHS).Methods A total of 50 patients with OSAHS were divided into three groups which received different operation,group A(15)uvulopalatopharyngoplasty(UPPP),group B(25)UPPP+chin advancement,group C(10)UPPP+sagittal split ramus osteotomy(SSRO)+chin advancement.The results of the surgery were evaluated by reviewing the pre-and post-operative polysomnography(PSG)parameters.Results The success rate in group A,group B and group C were 33.3%,84.0%and 90.0%,respectively.The effect of group C was better than that of group A and B(P<0.05).Conclusion UPPP+SSRO+chin advancement could be the first choice for OSAHS patients with micrognathia deformity.

关 键 词：阻塞性睡眠呼吸暂停低通气综合症 手术治疗 小颌畸形 

分 类 号：R766.9[医药卫生—耳鼻咽喉科] R782.2[医药卫生—临床医学]