阻塞性睡眠呼吸暂停综合征术前纤维内镜Müller’s法检查的临床意义  

The Clinical Effects of Müller's Endoscope Examination On The Treatment of OSAS

作　　者：任雨青[1] 

机构地区：[1]青海红十字医院耳鼻咽喉-头颈外科,810000

出　　处：《青海医药杂志》2004年第4期9-10,共2页Qinghai Medical Journal

摘　　要：目的 :探讨阻塞性睡眠呼吸暂停综合征 (OSAS)不同层面阻塞对悬雍垂腭咽成形术(UPPP)效果的影响 ;方法 :采用纤维喉镜 (或气管镜 )术前模拟睡眠状态下M櫣ｌｌｅｒ’ｓ法检查 ,对上气道不同层面截面积减少情况进行评估 ,选择以鼻咽腔及以口咽平面狭窄而喉咽腔截面积≥ 5 0 %的病例作为UPPP手术适应症 ;结果 :通过对 98例OSAS病人术前进行M櫣ｌｌｅｒ’ｓ法检查 ,筛选出6 6例符合手术适应症标准病例并实施了UPPP ,术后 89%患者鼾声响度、憋气症状、血氧饱和度得以改善 ;结论 :纤维内镜术前M櫣ｌｌｅｒ’ｓ法检查可作为判断ＯＳＡＳ病人阻塞部位、选择手术适应症、提高UPPP疗效重要的临床检测手段。Objective: To discuss the effect of different pharyngeal airway collapse in the obstructive sleep apnea syndrome (OSAS) on the Uvulo palato pharyngo plasty (UPPP).Methods: The area of different cross section of the upper airway was evaluated using the endoscope Müller's examination in 98 cases with OSAS before operation and the 66 patients who the area of cross section of hypopharyngeal was more than 50% were determined to perform the UPPP. Results: 89% of the operated patients had better improvement on the symptoms of OSAS.Conclusion: The fibred endoscopic Müller maneuver is a useful method to evaluate the pharyngeal airway collapse, screen the UPPP candidates and improve the UPPP outcome.

关 键 词：阻塞性睡眠呼吸暂停综合征 纤维内镜 Müller’S法 OSAS 定位判断 悬雍垂腭咽成形术 

分 类 号：R768.1[医药卫生—耳鼻咽喉科]