山东大学耳鼻喉眼学报 ›› 2012, Vol. 26 ›› Issue (6): 1-3.

• 睡眠呼吸障碍性疾病 •    下一篇

喉源性阻塞性睡眠呼吸暂停低通气综合征的临床观察

李树华,石洪金,董卫东,吴大海   

  1. 沈阳军区总医院耳鼻咽喉科, 沈阳 110016
  • 收稿日期:2012-04-13 出版日期:2012-12-16 发布日期:2012-12-16
  • 作者简介:李树华,教授,硕士研究生导师。E-mail:lishsy@sina.com
  • 基金资助:

    辽宁省科技攻关计划(2010225036)

Obstructive sleep apnea hypopena syndrome caused by laryngeal diseases

LI Shu-hua, SHI Hong-jin, DONG Wei-dong, WU Da-hai   

  1. Department of Otolaryngolgoy, General Hospital of Shenyang Military Command, Shenyang 110016, China
  • Received:2012-04-13 Online:2012-12-16 Published:2012-12-16

摘要:

目的 探讨喉源性阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的病因、临床表现和治疗特点。方法 回顾分析13例经治疗喉原发病使OSAHS获得有效治疗而确诊为喉源性OSAHS的病例,总结分析其病因、临床表现和治疗特点。结果 造成喉源性OSAHS发病原因包括双侧声带麻痹、喉乳头状瘤、会厌肿瘤、会厌软化等,主要由声门和会厌病变引起喉内呼吸道狭窄所致;此类患者多不肥胖,声门病变导致OSAHS者多数存在轻度呼吸困难,经治疗喉原发病,OSAHS获得了很好疗效。结论 喉腔疾病可以导致喉源性OSAHS的发生,临床上喉源性OSAHS并非罕见,治疗喉原发病可以使喉源性OSAHS得到有效治疗。

关键词: 睡眠呼吸暂停,阻塞性;喉;气道梗阻;治疗结果

Abstract:

Objective To explore the etiology, manifestation and therapy of obstructive sleep apnea hypopnea syndrome caused by laryngeal diseases(OSAHSLD). Methods 13 patients with OSAHSLD were included in the study. The etiology, manifestation and therapy were reviewed. Results The 13 OSAHSLD patients, diagnosed by plysomnography, obtained good curative effect after the laryngeal lesions were removed. The laryngeal diseases consisted of bilateral vocal cords paralysis(6 cases), laryngeal papillary epithelioma(1 case), epiglottis neurilemmoma(1 case), huge epiglottis cyst(3 cases), and epiglottis softening(2 cases). The body mass indexes were normal in all the patients, and moderate dyspnea was noted in the patients with bilateral paralysis of vocal cords. Conclusion The OSAHS can be induced by laryngeal disease, in which tumor/cyst of epiglottis and paralysis of bilateral vocal cords are common etiology. OSAHSLD can be cured if the primary laryngeal diseases are removed.

Key words: Obstructive sleep apnea hypopnea syndrome; Larynx; Obstruction of airway; Treatment outcome

中图分类号: 

  • R766.7
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