OSAHS多层面手术疗效评价

目的：探讨OSAHS患者多平面手术治疗的效果。方法：115例OSAHS患者行UPPP,其中加鼻中隔偏曲矫正术18例,加鼻中隔偏曲矫正术、下鼻甲部分切除术26例,加颏舌肌前徙术和舌体部分切除术1例,加舌体部分切除术5例。其中伴鼻部疾病和（或）舌体肥大、AHI〉40和（或）BMI〉30的患者术前行气管切开后插管全身麻醉。结果：术后长期随访,治愈43例（AHI〈5）,有效46例（AHI降低≥50%）,无效26例;有效率为77.4%。结论：通过多平面手术治疗OSAHS,可提高有效率;对于重度患者采用术前气管切开后插管全身麻醉,能有效预防术后严重并发症的发生。

The efficacy evaluation of multiplane operations in obstructive sleep apnea-hypopnea syndrome

Objective：To evaluate the therapeutic effect of multi-plane operations in treating obstructive sleep apnea-hypopnea syndrome （OSAHS）. Method：One hundred and fifteen patients with OSAHS diagnosed by poly- somnography were treated with uvuplopalatopharyngoplasty. Eighteen of them were treated combining with nasal septal construction. Twenty six patients also received nasal septal construction and partial inferior turbinectomy. One patients also received Genioglossus advancement and partial resection of corpus linguae. Five patients also received partial resection of corpus linguae. Some patients with the nasal disease and/or the lingual hypertrophy;, AHI;40 and/or BMI;30 are received tracheotomy before general anaesthesia. Result; According to the postoperative follow-up 43 patients, were cured,46 patients were improved, 26 patients were invalid, the effective power was 77.4%. Conclusion： The operative effective power were increased by multi-plane operations in OSAHS pa- tients. The serious complication were prevented through tracheotomy before general anaesthesia in multi-plane operations of severe OSAHS.