关键词: 阻塞性；改良悬雍垂腭咽成形术；舌骨悬吊术；持续正压通气, 睡眠呼吸暂停

Abstract:

Objective    To explore the obstructive planes and treatment of severe obstructive sleeping hypopnea-apnea syndrome (OSAHS) by evaluating  the efficiacy of H-UPPP, Hyoid suspension plus nasal operation, and compliance of CPAP. Methods     60 cases of patients underwent PSG and were diagnosed as severe OSAHS.  And all the patients received PSG again after the operation or CPAP treatment. Results    60 patients were all multi-level obstructive.  HUPPP, hyoid suspension and nasal operation were performed in 24 cases, while 20 of them presented with hypertension or diabetes. Nasal operations consisted of  inferior turbinectomy, nasal septum reconstructomy or endoscopic surgery. CPAP treatment was applied in the rest 36 elderly patients.  Conclusion    For the severe OSAHS patients, suitable and feasible surgery should be done according to the obstructive planes. As for elderly patients,  CPAP is a good choice.  The good results can be achieved in all the severe OSAHS cases.

Key words: Hyoid suspension, H-uvulopalatopharyngoplasty, Obstructive sleep apnea hypopnea syndrome, Continuous positive airway pressure