山东大学耳鼻喉眼学报 ›› 2013, Vol. 27 ›› Issue (3): 42-44.doi: 10.6040/j.issn.1673-3770.0.2013.004

• 论著 • 上一篇    下一篇

保留下鼻甲海绵状组织的鼻腔扩容术治疗OSAHS

张浩亮,于锋,龚辉成,张群慧   

  1. 广州市耳鼻咽喉头颈外科医院耳鼻咽喉头颈外科, 广州 510620
  • 收稿日期:2013-01-10 发布日期:2013-06-16
  • 通讯作者: 于锋。 Email:fishwoo@sina.com
  • 作者简介:张浩亮。 Email:fridge22@163.com

Cavemosum of the inferior turbinate be retained in the nasal cavity surgery expansion for obstructive sleep apnea hypopnea syndrome

ZHANG Hao-liang,  YU Feng, GONG Hui-cheng, ZHANG Qun-hui   

  1. Department of Otolaryngology & Head and Neck Surgery, Guangzhou Hospital of Otorhinolaryngol & Head and Neck Surgery, Guangzhou 510620, China
  • Received:2013-01-10 Published:2013-06-16

摘要:

目的   探讨鼻腔扩容术治疗OSAHS的改良术式。方法   选择55例阻塞平面为Ⅰ型的OSAHS患者行保留下鼻甲海绵状组织的鼻腔扩容术(治疗组),对照组26例行下鼻甲黏膜下部分切除术。两组均比较手术前后PSG结果。结果   术后随访6~12个月,治疗组手术前后PSG参数中AHI、AI、LSaO2及MSaO2差异有统计学意义(P<0.01),治疗组比对照组效果好。结论   保留下鼻甲海绵状组织的鼻腔扩容术能较好地保留鼻腔的生理功能,对Ⅰ型OSAHS疗效确切,比常用的下鼻甲黏膜下部分切除术效果优良。

关键词: 阻塞性, 下鼻甲; , 海绵状组织; 扩容术; 睡眠呼吸暂停

Abstract:

Objective   To investigate an improved surgical approach of nasal cavity surgery expansion for obstructive sleep apnea hypopnea syndrome (OSAHS). Methods   55 OSAHS patients with choking plane located in the nasal cavity were enrolled in the treatment group in which cavemosums of inferior turbinate had been retained in the nasal cavity surgery expansion and 26 patients were performed partial removal of the inferior turbinate submucosal the preoperative data and postoperative data results were compared. PSG data of AHI, AI, LSaO2 and  MSaO2 of the two groups were compared. Result   Followed up for 6 to 12 months, the latter had poor results. Conclusion   The operation of cavemosums of inferior turbinate had been retained in the nasal cavity is helpful in reserving nasal function and has good clinical effect for OSAHS typeⅠ. It is better than portion inferior turbinate submucosa excision. 

Key words: Cavemosum; , Cavity surgery expansion; Sleep apnea hypopnea syndrome, obstructive, Inferior turbinate; 

中图分类号: 

  • R765.9
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