舌骨悬吊术在阻塞性睡眠呼吸暂停低通气综合征中的应用

Application of hyoid suspension in obstructive sleep apnea-hypopnea syndrome

目的:探讨舌骨悬吊术治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的手术方法和效果。方法:对28例中、重度OSAHS实行了鼻腔、悬雍垂腭咽成形术(UPPP)加舌骨悬吊术,随访6个月,PSG分析治疗效果。结果:患者手术前AHI(52.8±21.4)次/h,术后降至(15.2±13.3)次/h(P<0.01)。28例患者,治愈6例(21.4%)、显效10例(35.7%)、有效8例(28.6%)、总有效率为85.7%。结论:舌骨悬吊术辅助其他治疗能明显提高手术效果,且安全、简便、并发症少,是一种治疗OSAHS的有效方法。

Objective：To treat OSAHS with hyoid suspension and evaluate treating effect. Method： Twentyeight patients of median ,severe OSAHS were treat with functional endoscopic sinu surgery, UPPP＋ hyoid suspension. The length of follow up was 6 months. PSG was used for diagnosis and pre up, post up evaluateion. Result：AHI of 28 patients reduced from （52.8±21.4）h to （15.2±13.3）h（P〈0.05）. Effective rate is 85.7%. Conclusion： Hyoid suspension is an effective method of safety, simplicity, few complications.