摘要
目的:探讨伴会厌塌陷鼾症的临床特点及其手术治疗方法。方法:回顾以打鼾、嗜睡为主诉,曾行诱导睡眠内镜(DISE)的18例患者,有8例伴会厌塌陷鼾症,其余10例无会厌塌陷。总结会厌塌陷病例的临床特点,从年龄、BMI、会厌形态(会厌上缘弯曲度)、AHI、最低血氧饱和度几方面对比伴有塌陷的病例与无会厌塌陷的病例,并评估合并会厌塌陷鼾症的手术疗效。结果:伴有会厌塌陷鼾症患者睡眠憋气症状常突出,与无会厌塌陷者相比较,会厌上缘弯曲度与BMI差异有统计学意义(P=0.03、0.04)。其确诊有赖于DISE。手术治疗目前主要以会厌成形术为主。结论:伴会厌塌陷的鼾症并不少见,可根据临床表现、会厌形态作初步筛查,DISE为确诊方法,会厌成形术对其有一定的疗效。
Objective：The aim of this study is to summary the characteristics of sleep breath disorder patients with epiglottis collapse and find out the way to treat them with surgery.Method：This is a retrospective study.There were eighteen patients who complained of snoring and somnolence,as well as had undergone DISE.Eight of them were diagnosed as epiglottis collapse.We analysis the clinical features,surgical treatments and prognosis of these eight patents,and compare their BMI,shape of epiglottis and AHI with the patients without epiglottis collapse.Result：Patients with epiglottis collapse usually complained of breathless during sleeping.The shape of their epiglottis was mainly flat and wide,as the cure of the upper margin of their epiglottises shows significant difference with those who are without epiglottis collapse（P=0.03,0.04）.DISE is the diagnosis examination.The primary surgical treatment is Epiglottoplasty.Conclusion：It＇s not uncommon to see epiglottis collapse clinically.Whenever we meet the particular clinical manifestation,the diagnose of epiglottis collapse should be taken into consideration.DISE is the diagnosis examination.Epiglottoplasty can treat them to some degree.
作者
黄靖妍
庞锋
张湘民
HUANG Jingyan;PANG Feng;ZHANG Xiangmin(Department of Sleep Disordered Breathing, the Sixth Hospital Affiliated to Sun Yat-sen Uni- versity ,Guangzhou, 510000,China)
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2018年第13期993-997,共5页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
广东省省级科技计划项目(No:2014A020215010)
关键词
会厌
外科手术
塌陷
epiglottis
surgery
collapse
