硬腭截短软腭前移-悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停综合征

山东大学耳鼻喉眼学报

硬腭截短软腭前移-悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停综合征

吴昊¹，丁小军¹，　周维¹，　卢军²，尤易文¹，钮冠癢¹，　陈亚权³

1．南通大学附属医院耳鼻咽喉科，江苏　南通　226001；2．南通大学附属医院口腔颌面外科，江苏　南通　226001；3. 南通市如东县人民医院耳鼻咽喉科，江苏　如东 2260003. 南通市如东县人民医院耳鼻咽喉科，江苏　如东 226000

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2007-08-24 发布日期:2007-08-24
通讯作者: 吴昊

Hard palate shortening combined with uvulopalatopharyngolasty in the treatment of obstructive sleep apnea syndrome

WU Hao¹，DING Xiao-jun¹，ZHOU Wei-rong¹， LU Jun²，YOU Yi-wen¹， NIU Guan-yi¹，CHENG Ya-quan³

1. Department of Otolaryngology, Affiliated Hospital of Nantong University, Nantong 226001;2. Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Nantong University;3. Department of Otolaryngology,Rudong People′s Hospital,Rudong 226000

Received:1900-01-01 Revised:1900-01-01 Online:2007-08-24 Published:2007-08-24
Contact: WU Hao

摘要/Abstract

摘要： 目的：探讨硬腭截短软腭前移-悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停综合征（Obstructive sleep apnea syndrome，OSAS）的疗效。方法：对16例OSAS患者准确定位上气道阻塞平面，行硬腭截短软腭前移-悬雍垂腭咽成形术，对比手术前后《欧洲率中量表》(ESS)评分、多导睡眠监测(PSG)、Muller试验、头影侧位片检查。结果：手术前后ESS评分、睡眠呼吸紊乱指数(AHI)及最低SaO2差异均有统计学意义（P＜0.05），头影测量显示上气道间隙较术前扩大，Muller氏实验中吸气时咽壁塌陷程度减轻。结论：硬腭截短软腭前移术可有效扩大骨性鼻咽腔及腭咽前后位狭窄，联合悬雍垂腭咽成形术不仅提高了手术有效率，治愈率也明显提高。

关键词: 睡眠呼吸暂停低通气综合征, 阻塞性, 硬腭截短, 悬雍垂腭咽成形术, 头影测量

Abstract: Objective：To explore the curative effect of hard palate shortening (HPS) combined with uvulopalatopharyngolasty (UPPP) in the treatment of obstructive sleep apnea syndrome. Methods： Sixteen patients with OSAHS were subjected to HPS combined with UPPP. The pre-and post-ESS scores, polysomnography (PSG), Muller test, and cephalometric data were compared. Results：The grade of ESS, PSG and SaO2 was statistically significant (P＜0.05), and the upper airway space was obviously wider than that of the pre-operative. It was showed by Mueller′s method that the collapse degree of the pharyngeal wall was significantly decreased during inspiration. Conclusion： For OSAHS patients with an obviously narrow bony pharyngonasal and velopharyngeal cavity， HPS combined with UPPP improves not only the surgical effective power but also the curative rate.

Key words: Obstructive sleep apnea syndrome, Hard palate shortening, Uvulopalatopharyngolasty, Cephalometrics

中图分类号:

R766.7

吴昊,丁小军,周维,卢军,尤易文,钮冠癢,陈亚权 . 硬腭截短软腭前移-悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停综合征[J]. 山东大学耳鼻喉眼学报, 2007, 21(4): 297-299 .

WU Hao,DING Xiao-jun,ZHOU Wei-rong,LU Jun,YOU Yi-wen,NIU Guan-yi,CHENG Ya-quan . Hard palate shortening combined with uvulopalatopharyngolasty in the treatment of obstructive sleep apnea syndrome[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2007, 21(4): 297-299 .

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