期刊文献+

同期鼻腔扩容术联合改良悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停低通气综合征 被引量:8

Nasal cavity expansion simultaneously combined with Han-uvulopalatopharyngoplasty for obstructive sleep apnea hypopnea syndrome
下载PDF
导出
摘要 目的探讨鼻腔扩容术同期联合改良悬雍垂腭咽成形术(Han—uvulopalatopharyngoplasty,H.UPPP)治疗阻塞性睡眠呼吸暂停低通气综合征(obstructivesleepapneahypopneasyndrome,OSAHS)的疗效。方法多道睡眠图(polysomnography,PSG)监测及临床检查确诊的OSAHS且阻塞平面为鼻腔及腭咽腔患者132例,同期行鼻腔扩容术和H.UPPP,术后6个月~1年复查PSG监测,观察联合手术治疗的效果。结果成功随访108例患者,有效率为83.33%(90/108),术后患者夜间平均动脉血氧饱和度、血氧饱和度低于90%的时间占总睡眠时间的百分比、最低动脉血氧饱和度、Epworth嗜睡量表4个指标均较术前有明显改善(P〈0.01);术后发生2例鼻腔出血,1例扁桃体窝出血,7例鼻腔粘连,未发生其他并发症。结论对存在鼻腔及腭咽腔平面狭窄的OSAHS患者,同期行鼻腔扩容联合H-UPPP,安全有效,可以作为此类患者的首选手术治疗方式。 OBJECTIVE To explore the efficacy and indications of the selective expansion of the nasal cavity simultaneously combined with Han- uvulopalatopharyngoplasty (H-UPPP) in treatment of obstructive sleep apnea hypopnea syndrome (OSAHS) . METHODS 132 patients suffered form obstructive sleep apnea syndrome diagnosed by polysomnography and clinical sign, whose obstructive site lied in nasal and pharyngeal cavity. All patients underwent nasal surgery expansion plus uvulopalatopharyngoplasty surgery. Six months to 1 year after operation, following -up was taken with polysomnography. RESULTS 108 patients were successfully followed-up. The efficiency was 83.33% (90/108) . Postoperative mean nocturnal SaO2, the proportion of time of oxygen less than 90% in total sleep, lowest pulse oxygen saturation (LSaO2) and Epworth sleepy scale (ESS) score were obviously improved (P〈0.01) ; The postoperative severe complication was never happened except 2 nasal bleeding, 1 tonsil bleeding and 7 nasal adhesions. CONCLUSION Simultaneous endoscopic nasal dilation combined with uvulopalatopharyngoplasty was safe and valid for OSAHS patients with nasal and pharyngeal obstruction. The surgical program can be used as the preferred treatment for these patients.
出处 《中国耳鼻咽喉头颈外科》 CSCD 2013年第12期642-644,共3页 Chinese Archives of Otolaryngology-Head and Neck Surgery
关键词 睡眠呼吸暂停 阻塞性 鼻腔 改良悬雍垂腭咽成形术 鼻腔扩容术 Sleep Apnea, Obstructive Nasal Cavity Han-uvulopalatopharyngoplasty expansion of nasal cavity
  • 相关文献

参考文献7

二级参考文献34

  • 1李树华,石洪金,董莘,曲胜,董卫东,王桂茹.上呼吸道咽壁顺应性的CT定量评估[J].临床耳鼻咽喉科杂志,2005,19(3):104-107. 被引量:19
  • 2何建德,石慧敏,卢晓蜂.上气道三维CT重建在睡眠呼吸障碍中的应用价值[J].中国口腔颌面外科杂志,2006,4(3):166-170. 被引量:16
  • 3曹艳,刘嘉玲,缪飞,潘自来,陈克敏.多层螺旋CT在阻塞性睡眠呼吸暂停低通气综合征中的应用价值[J].临床放射学杂志,2007,26(1):34-38. 被引量:13
  • 4Iber C, Ancoli-Israel S, Chesson A, and Quan SF for me American Academy of Sleep Medicine. The AASM manual for the scoring of sleep and associated events: rules Termiology and technical specifications. Westchester IL: American Academy of Sleep Medicine, 2007.
  • 5Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force. Sleep, 1999, 22: 667-689.
  • 6Practice parameters for the indications for polysomnography and related procedures. Polysomnography Task Force, American Sleep Disorders Association Standards of Practice Committee. Sleep, 1997, 20: 406422.
  • 7Kushida CA, Littner MR, Morgenthaler T, et al. Practice parameters for the indications for polysomnography and related procedures: an update for 2005. Sleep, 2005, 28 : 499-521.
  • 8Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep, 1991, 14: 540-545.
  • 9Han Demin, Ye Jingying, Wang Jin. Modified uvulopalatopharyngoplasty with uvula preservation//Michael F. Sleep apnea and snoring-surgical and non-surgical therapy. Chicago : Elsevier Inc, 2009 : 211-216.
  • 10Li KK, Powell NB, Riley RW, et al. Overview of phase I surgery for obstructive sleep apnea syndrome. Ear Nose Throat J, 1999, 78 : 836-837,841-845.

共引文献920

同被引文献44

引证文献8

二级引证文献28

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部