阻塞性睡眠呼吸暂停综合征手术治疗的临床观察  

Further Study on Surgical Treatment of Obstructive Sleep Apnea Syndrome

作　　者：薛涛[1] 牛春生[2] 

机构地区：[1]第四军医大学西京医院耳鼻咽喉科,西安710032 [2]天津市宝坻区人民医院耳鼻咽喉科

出　　处：《天津医药》2003年第1期30-31,共2页Tianjin Medical Journal

摘　　要：目的:探讨阻塞性睡眠呼吸暂停综合征(OSAS)的手术治疗的疗效。方法:回顾73例阻塞性睡眠呼吸暂停综合征手术病例,对围手术期治疗及术后并发症进行分析。其中单纯腭咽成形术(PPP)21例,PPP并鼻腔手术40例,PPP加激光治疗6例,气管切开+PPP 6例。采用全麻41例,局麻32例。结果:治愈38例,显效22例,有效9例,无效4例。5例全麻术后发生呼吸困难,6例术后出血,2例术后7d内合并严重心脑血管疾病死亡。结论:手术治疗OSAS的疗效是确切的,术前诊断、合并症的处理,以及手术方法的选择对疗效起决定作用。Objective: To further study the effect of surgical treatment on obstructive sleep apnea syndrome (OSAS) .Methods: Seventy-three cases of OSAS treated with surgery, including simple palatopharyngoplasty (PPP) (n = 21), PPP plus nose operation( n = 40), laser PPP( n = 6) and PPP plus tracheotomy( n = 6), were reviewed. Their diagnosis, treatment in operation period and complications were analyzed.Results: The curative effects of surgical treatment on OSAS were cure( n = 38), notable efficacy (n = 22), efficacy( n = 9) and ineffi-cacy(n =4) .Conclusion: The surgial treatment of OSAS is efficacious. Its effect is dependent upon the preop-erative diagnosis, the surgical method and the management of complications.

关 键 词：阻塞性睡眠呼吸暂停综合征 手术治疗 耳鼻喉外科手术 OSAS 

分 类 号：R766.43[医药卫生—耳鼻咽喉科]