悬雍垂腭咽成形术联合鼻部手术治疗OSAHS疗效分析

Therapeutic effect of uvulopalatopharyngoplasty in combination with nasal surgery on obstructive sleep apnea-hypopnea syndrome

目的探讨对合并鼻部和口咽部阻塞的阻塞性睡眠呼吸暂停低通气综合征（Obstructive Sleep Apnea—Hypopnea Syndrome，OSAHS）患者进行同期鼻部手术和悬雍垂腭咽成形术（uvulopalatopharyngoplasty，UPPP）的临床疗效。方法诊断和评估根据多导睡眠呼吸监测（Polysomonography，PSG）、体重指数（Body Mass Index，BMI）和主观症状。检查证实同时有口咽狭窄和鼻部异常，在行UPPP手术同期行下鼻甲部分切除术和（或）鼻中隔偏曲黏膜下切除术），术后随访1-2年。结果截止到2007年11月，所有患者术后满12个月，复查时打鼾、憋气、头痛及嗜睡等症状均明显减轻或消失。结论UPPP联合鼻中隔偏曲矫正、下鼻甲部分切除术治疗OSAHS可取得良好的手术疗效。

Objective To study the therapeutic effect of uvulopalatopharyngoplasty（UPPP） in combination with nasal surgery on obstructive sleep apnea-hypopnea syndrome （OSAHS）complicated by nasal and oropharyngeal obstruction. Methods OSAHS was diagnosed and evaluated according to the body mass index （BMI） and subjective symptoms of patients, and the findings at polysomnography （PSG）. Physical examination showed oropharyngeal stricture and nasal abnormality. The patients underwent UPPP in combination with partial inferior turbinectomy and/or submucous resection of nasal septum, and followed up for 1-2 years after operation. Results Reexamination of the patients 1 year after operation showed that the clinical manifestations of patients, such as snoring,suffocating,headache and drowsiness, were significantly improved. Conclusion UPPP in combination with partial inferior turbinectomy and/or submucous resection of nasal septum can achieve rather good therapeutic effects on OSAHS.