一期多平面微创手术治疗轻中度睡眠呼吸暂停低通气综合征35例

doi:10.6040/j.issn.1673-3770.0.2014.121

Abstract

Abstract: Objective To explore safety and efficacy of minimally invasive one-stage multilevel treatment for mild and moderate obstructive sleep apnea hypopnea syndrome. Methods Clinical data of 35 cases of mild and moderate OSAHS underwent minimally invasive one-stage multilevel treatment, from January 2011 to June 2013 in Department of Otorhinolaryngology and Head & Neck Surgery, were reviewed. Results Minimally invasive one-stage multilevel treatment improved the sleep and daytime symptoms related to OSAHS. After at least 6 months of follow-up, there were eight cured(22.9%), twenty-two improved markedly (62.7%), five effective(14.3%) without invalid case. The average apnea-hypopnea index was decreased from 18.6 to 8.0 (P<0.05); The mean of lowest oxygen saturation was increased from 78.4% to 84.4% (P<0.05) and the average Epworth sleepiness scale score was decreased from 11.6 to 7.7 (P<0.05). Also, there was significant improvement in snoring, daytime sleepiness, and overall impact of the disease on quality of life. All patients returned to normal swallowing one month after the surgeries. Conclusion AHI, LSaO₂ and ESS are significantly improved in OSAHS patients treated with minimally invasive one-stage multilevel treatment. The procedure is recommended for mild and moderate OSAHS.

Key words: Sleep apnea-hypopnea syndrome, obstructive, Multilevel surgery, Minimally invasive surgery

CLC Number:

R766.7

XU Jin-cao, ZHANG Mei-guang, WANG Wei, FENG Yong, LU Ya-yan, JI Yu-bin, GAO Xue. Minimally invasive one-stage multilevel treatment for mild and moderate obstructive sleep apnea hypopnea syndrome in 35 patients[J].JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(5): 4-6.

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Minimally invasive one-stage multilevel treatment for mild and moderate obstructive sleep apnea hypopnea syndrome in 35 patients

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