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改良悬雍垂腭咽成形加选择性鼻腔扩容术治疗阻塞性睡眠呼吸暂停综合征 被引量:14

Treatment of obstructive sleep apnea syndrome with modified uvulopalatopharyngoplasty plus selective nasal expansion
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摘要 目的探讨改良悬雍垂腭咽成形术(UPPP)加选择性鼻腔扩容术治疗多平面狭窄导致的阻塞性睡眠呼吸暂停综合征(OSAS)的疗效。方法对多平面狭窄的OSAS患者64例采用改良UPPP加选择性鼻腔扩容术。结果 64例术后6个月复查结果:有效14例(21.88%),显效40例(62.50%),治愈10例(15.63%);总有效率为100%。48例术后1年复查结果:有效10例(20.83%),显效32例(66.67%),治愈3例(6.25%);总有效率为93.75%。结论在多平面狭窄导致的OSAS患者,采用改良UPPP加选择性鼻腔扩容术,一次手术解决了上气道鼻腔、鼻咽、口咽部等处多平面阻塞。 Objective To summarize the outcomes of modified uvulopalatopharyngoplasty(UPPP) combined with selective nasal dilation therapy in treating obstructive sleep apnea syndrome(OSAS) secondary to multiple-plane stenosis.Methods Modified UPPP combined with selective expansion of nasal cavity was performed in 64 OSAS patients secondary to multiple-plane stenosis.Results The results of 64 cases after 6 months were effective in 14 cases(21.88%),better in 40 cases(62.50%),cured in 10 cases(15.63%) with a total effectiveness rate of 100%.The results of 48 cases after 12 months were effective in 10 cases(20.83%),better in 32 cases(66.67%),and cured in 3 cases(6.25%) with a total effectiveness rate of 93.75%.Conclusion Modified UPPP combined with selective expansion of nasal cavity can treat multiple-plane of occlusions of the nasal cavity,nasopharynx,and oropharynx airway in OSAS patients secondary to multiple planes stenosis.
出处 《江苏医药》 CAS CSCD 北大核心 2011年第24期2943-2945,共3页 Jiangsu Medical Journal
基金 连云港市卫生局2011年科研项目(1135)
关键词 阻塞性睡眠呼吸暂停综合征 改良腭咽成形 选择性鼻腔扩容 Obstructive sleep apnea syndrome Modified palato-pharyngeal forming Selective nasal cavity expansion
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