鼻腔扩容术在OSAHS治疗中的应用及临床疗效评估

doi:10.6040/j.issn.1673-3770.0.2016.511

摘要/Abstract

摘要： 随着人们对OSAHS存在多平面狭窄的认识,鼻腔扩容术在OSAHS治疗中的作用越来越受到重视,现就鼻阻塞与OSAHS的病理生理、鼻腔扩容术在OSAHS患者治疗中的意义及对鼻功能的影响、鼻腔扩容术前上气道检查和评估、鼻腔扩容手术适应症的选择、鼻腔扩容手术时机选择及鼻腔扩容手术疗效评价几个方面做一述评。

关键词: 鼻阻塞, 外科手术, 睡眠呼吸暂停,阻塞性, 鼻功能, 鼻腔扩容术

Abstract: As people have more awareness of the existence of multi plane stenosis in obstructive sleep apnea-hypopnea syndrome(OSAHS), nasal cavity expansion surgery has aroused more and more attention. This paper will review the pathophysiology of nasal obstruction and OSAHS, significance of expansion nasal OSAHS and nasal obstruction in patients with OSAHS, the significance of nasal cavity expansion surgery and its influence on nasal function, preoperative airway examination and evaluation of surgical indications, the timing of surgery, and curative effect of surgery.

Key words: Sleep apnea, obstructive, Nasal cavity ventilation expansion techniques, Nasal obstruction, Nasal function, Surgical Procedures

中图分类号:

R766.7

彭易坤. 鼻腔扩容术在OSAHS治疗中的应用及临床疗效评估[J]. 山东大学耳鼻喉眼学报, 2017, 31(1): 13-17.

参考文献

[1] Punjabi NM. The epidemiology of adult obstructive sleep apnea[J]. Proc Am Thorac Soc, 2008, 5(2):136-143.
[2] Wells W. Some nervous and mental manifestations occurring in the connection with nasal disease[J]. Am J Med Sci, 1898, 116:677-692.
[3] Carpenter J. Mental aberration and attending hypettrophic rhinitis with subaeute otitis media[J]. JAMA, 1892, 19:539-542.
[4] De Vito A, Berrettini S, Carabelli A, et al. The importance of nasal resistance in obstructive sleep apnea syndrome: a study with positional rhinomanometry[J]. Sleep Breath, 2001, 5(1):3-11.
[5] Pevernagic DA, De Meyer MM, Claevs S. Sleep, breathing and the nose[J]. Sleep Med Rev, 2005, 9(6):437-451.
[6] 席晨琛, 汪银凤, 许为青. 鼻阻塞与多导睡眠监测的相关性分析[J]. 安徽医科大学学报, 2016, 51(11):1658-1660. XI Chenshen, WANG Yinfeng, XU Weiqin. Correlation analysis of nasal obstruction and polysomnography[J]. Acta Universitatis Medicinalis Anhui, 2016, 51(11):1658-1660.
[7] 李延忠, 王岩, 王欣. 1500例阻塞性睡眠呼吸暂停低通气综合征患者鼻阻塞性病变分析[J]. 山东大学学报(医学版), 2006, 44(3):273-279. LI Yanzhong, WANG Yan, WANG Xin. Analysis of nasal obstruction in 1500 patients with obstructive sleep apnea hypopnea syndrome[J]. J Shandong Univ(Health Sci), 2006, 44(3):273-279.
[8] 臧洪瑞, 李立锋, 周兵, 等. 阻塞性睡眠呼吸暂停低通气综合征患者鼻腔空气动力学特征[J]. 中国耳鼻咽喉头颈外科杂志, 2013, 20(11):603-606. ZANG Hongrui, LI Lifeng, ZHOU Bing, et al. Nasal aerodynamics characteristics in obstructive sleep apnea hypopnea syndrome patients[J]. Chin Otolaryngol Otolaryngol Head Neck Surg, 2013, 20(11):603-606.
[9] Silvoniemi P, Suonpää J, Sipilä J, et al. Sleep disorders in patients with severe nasal obstruction due to septal deviation[J]. Acta Otolaryngol Suppl, 1997, 529:199-201.
[10] Young T, Finn L, Palta M, et al. Chronic nasal congestion at night is a risk factor for snoring in a population-base cohort study[J]. Arch Intern Med, 2001, 161(12):1514 - 1519.
[11] Morris LG, Burschtin O, Lebowitz RA, et al. Nasal obstruction and sleep-disordered breathing: a study using acoustic rhinometry[J]. Am J Rhinol, 2005, 19(1):33-39.
[12] 韩德民. 鼻内镜外科技术新热点[J]. 中华耳鼻咽喉头颈外科杂志, 2009, 44(6):441-443.
[13] HAN Deming, ZHANG Luo. Nasal cavity ventilation expansion techniques[J]. Acto Otolaryngol, 2011, 131(12):1244-1248.
[14] 彭易坤, 胡德峰, 代喻兵, 等. 鼻腔扩容术对改良悬雍垂腭咽成形术效果的影响[J]. 中国眼耳鼻喉科杂志, 2011, 11(5):301-304. PENG Yikun, HU Defeng, DAI Yubing, et al. Explore the impact of nasal cavity expansion surgery on the treatment efficacy of H-uvulopalatopharyngoplasty[J]. Chin Ophthalmol Otorhinolaryngol, 2011, 11(5):301-304.
[15] 李景慧, 吴红敏. 鼻腔扩容联合改良悬雍垂腭咽成形术对OSAHS患者血压的影响[J]. 山东大学耳鼻喉眼学报, 2014, 26(4):16-19. LI Jinghui, WU Hongmin. Influence of nasal expansion surgery in combination with H-UPPP on blood pressure for OSAHS patients[J]. J Otolaryngol Ophthalmol Shandong Univ, 2014, 26(4):16-19.
[16] 彭易坤, 胡德峰, 吴欣华, 等. 阻塞性睡眠呼吸暂停低通气综合症患者双侧鼻腔扩容术前后鼻腔通气程度主客观的变化[J]. 武汉大学学报(医学版), 2015, 36(6):952-955. PENG Yikun, HU Defeng, WU Xinhua, et al. Subjective and objective evaluations for the efficacy of nasal cavity eexpansion surgery on nasal airway in patients with obstructive sleep apnea hypopnea syndrome[J]. Med J Wuhan Univ(Health Sci), 2015, 36(6):952-955.
[17] Fridedman M, Maley A, Kelley K, et al. Impact of nasal obstruction on obstructive sleep apnea[J]. Otolaryngol Head Neck Surg, 2011, 144(6):1000-1004.
[18] Cui DM, Han DM, Nicolas B, et al. Three-dimensional evaluation of nasal surgery in patients with obstructive sleep apnea[J]. Chin Med J(Engl), 2016, 129(6):651-656.
[19] 霍红, 李五一, 田旭, 等. 阻塞性睡眠呼吸暂停低通气综合征手术的主观和客观疗效分析[J]. 中国耳鼻咽喉头颈外科杂志, 2011, 18(6):318-321. HUO Hong, LI Wuyi, TIAN Xu, et al. Investigation of outcomes of surgical treatment for patients with obstructive sleep apnea hypopnea syndrome[J]. Chin Otolaryngol Otolaryngol Head Neck Surg, 2011, 18(6):318-321.
[20] 李景慧, 吴红敏. 同期鼻腔扩容术联合改良悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停低通气综合征[J]. 中国耳鼻咽喉头颈外科, 2013, 20(12):642-644. LI Jinghui, WU Hongmin. Nasal cavity expansion simultaneously combined with Han-uvulopalatopharyngoplasty for obstructive sleep apnea hypopnea syndrome[J]. Chin Otolaryngol Otolaryngol Head Neck Surg, 2013, 20(12):642-644.

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