摘要
目的探讨鼻腔结构重建术治疗悬雍垂腭咽成形术(UPPP)后无效的阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的疗效。方法选择35例UPPP后无效的OSAHS患者接受鼻腔结构重建术治疗。比较治疗前、后呼吸暂停低通气指数(AHI)、最低血氧饱和度(LSaO2)、鼾声评级、Epworth嗜睡量表(Epworth sleepinessscore,ESS)、鼻阻力和视觉模拟量表(visual analoguescale,VAS)评分,评价治疗效果。结果治疗总有效率为65.7%。患者治疗后6个月,鼾声评级的降低较治疗前无显著差异,ESS评分较治疗前降低非常明显(P<0.01),AHI较治疗前减低明显(P<0.05),LSaO2较治疗前升高明显(P<0.05),鼻阻力和VAS评分均明显减小(P<0.05)。结论对UPPP后无效的OSAHS患者,鼻腔结构重建术是一种有效的补救性治疗方法。
OBJECTIVE To investigate the curative effect of nasal cavity structure reconstruction surgery on ineffective obstructive sleep apnea hypopnea syndrome （OSAHS） after uvulopalatopharyngoplasty （UPPP） . METHODS there were 35 OSAHS patients without any improvement after UPPP were choosed to undergo nasal cavity expansion surgery. Preoperative apnea hypopnea index （AHI） , lowest saturation of blood oxygen （LSaO2） , snoring scale, Epworth sleepiness scale （ESS） , nasal airway resistance （NAR） and visual analogue scale （VAS） were compared with those 6 months after nasal operation to evaluate the curative effect of nasal cavity structure reconstruction surgery. RESULTS The effective rate was 65.7%. At 6 months after operation, the ESS decreased much significantly （P〈0.01） , there was no difference on snoring scale. LSaO2 improved significantly （P〈0.05） , and AHI decreased significantly （P〈0.05） . In addition, NAR and VAS scores decreased significantly （.P〈0.05） . CONCLUSION Nasat cavity expansion surgery is an effective treatment to OSAHS patients without improvement after UPPP.
出处
《中国耳鼻咽喉头颈外科》
2012年第11期615-617,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
