山东大学耳鼻喉眼学报 ›› 2015, Vol. 29 ›› Issue (4): 1-3.doi: 10.6040/j.issn.1673-3770.0.2015.041

• 睡眠呼吸障碍性疾病 •    下一篇

合并Ⅰ、Ⅱ型阻塞性睡眠呼吸暂停低通气综合征的手术疗效

唐智1, 王继群2, 涂智峰2, 陈勇明1, 李贵娣1, 李玉兰1, 刘玲玲1   

  1. 1. 南方医科大学附属顺德第一人民医院耳鼻咽喉科, 广东 顺德 528300;
    2. 顺德第一人民医院附属杏坛医院耳鼻咽喉科, 广东 顺德 528325
  • 收稿日期:2015-01-17 修回日期:2015-04-07 出版日期:2015-08-16 发布日期:2015-08-16
  • 通讯作者: 王继群。E-mail:3377712@qq.com E-mail:3377712@qq.com
  • 作者简介:唐智。E-mail:damaodoctor@126.com
  • 基金资助:
    佛山市科技局医学类科技攻关项目(2014AB001953);顺德区卫计局医学科研立项(2313012)

Staged operation for simultaneous type Ⅰ and Ⅱ obstructive sleep apnea hypopnea syndrome.

TANG Zhi1, WANG Jiqun2, TU Zhifeng2, CHEN Yongming1, LI Guidi1, LI Yulan1, LIU Lingling1   

  1. 1. The Affiliated Hospital of Southern Medical University, The First People's Hospital of Shunde, Shunde 528300, Guangdong, China;
    2. The Affiliated Hospital of The First People's Hospital of Shunde, Xingtan Hospital, Shunde 528325, Guangdong, China
  • Received:2015-01-17 Revised:2015-04-07 Online:2015-08-16 Published:2015-08-16

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摘要： 目的 探讨分期行鼻腔扩容术及悬雍垂腭咽成形术(UPPP)治疗合并Ⅰ、Ⅱ型阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的意义和疗效。方法 对合并Ⅰ、Ⅱ型的重度OSAHS患者44例先施行鼻腔扩容手术, 3个月后行UPPP, 分两次解除不同平面上气道阻塞, UPPP术后3个月及6个月观察患者术后主客观症状改善情况。结果 术后所有患者经多导睡眠监测(PSG)显示低通气指数(AHI)、最低血氧饱和度(LSaO2)指标较术前均有明显改善, 呼吸暂停、打鼾症状消失或不同程度减轻,但术后6个月中度打鼾有明显增多的趋势。结论 分期手术治疗合并Ⅰ、Ⅱ型OSAHS疗效明显, 但治疗后打鼾程度的远期疗效尚有待观察。

关键词: 扩容术, 悬雍垂腭咽成形术, 睡眠呼吸暂停, 阻塞性

Abstract: Objective To explore the efficacy of staged operation in the treatment of obstructive sleep apnea hypopnea syndrome (OSAHS) diagnosed as type Ⅰ and Ⅱ simultaneously. Methods The OSAHS patients with nasal structural abnormalities underwent nasal cavity expansion surgery and uvelopalatopharyngoplasty 3 monthes later. Postoperative improvement were observed respectively 3 months and 6 months later. Results The symptoms of apnea and snore were improved, while AHI, LSaO2 were significantly improved postoperatively. However, moderate snoring gradually appeared 6 months after the surgery. Conclusion The nasal cavity expansion surgery and uvelopalatopharyngoplasty to treat OSAHS demonstrates obvious curative effects, but long term snoring warrants further observation.

Key words: Sleep apnea hypopnea syndrome, obstructive, Expansion surgery, Uvelopalatopharyngoplasty

中图分类号: 

  • R766.7
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