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激光治疗阻塞性睡眠呼吸暂停低通气综合征疗效评价
引用本文:张超,张献中,李永萍,卢二永. 激光治疗阻塞性睡眠呼吸暂停低通气综合征疗效评价[J]. 临床耳鼻咽喉头颈外科杂志, 2004, 18(6): 357-358
作者姓名:张超  张献中  李永萍  卢二永
作者单位:河南科技大学第一附属医院耳鼻咽喉科,河南洛阳,471003;河南科技大学第一附属医院激光科
摘    要:目的:探讨Nd:YAG激光治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效。方法:对89例OSAHS患者行激光悬雍垂腭咽成形术(LAUP).手术切除部分软腭及悬雍垂,在悬雍垂两侧向上楔形打开软腭。结果:术后6个月复查有76例行多导睡眠监测,治愈8例,显效36例,有效25例,无效7例,总有效率90.8%。结论:Nd:YAG激光具有止血凝固作用且穿透力强,手术视野清晰,并发症少,可缩短手术时间。LAUP治疗OSAHS效果良好。

关 键 词:阻塞性睡眠呼吸暂停综合征  激光手术  悬雍垂腭咽成形术
文章编号:1001-1781(2004)06-0357-02
修稿时间:2003-12-16

Evaluate the effect of Nd:YAG laser in treatment of obstructive sleep apnea-hypopnea syndrome
ZHANG Chao ZHANG Xianzhong LI Yongping LU Eryong. Evaluate the effect of Nd:YAG laser in treatment of obstructive sleep apnea-hypopnea syndrome[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2004, 18(6): 357-358
Authors:ZHANG Chao ZHANG Xianzhong LI Yongping LU Eryong
Affiliation:Department of Otolaryngology, First Affiliated Hospital, Henan Technological University, Luoyang, 471003, China.
Abstract:Objective:To observe the effect of laser in treatment of obstructive sleep apnea hypopnea syndrome (OSAHS).Method:Eighty nine cases of OSAHS were treated by Laser assisted uvulopalptoplasty (LAUP). Among the cases, the soft palate and uvula were partly resected. The cureiform incise was made into the soft palate along the each side of uvula.Result:The follow up period was six months,76 cases received the detection of polysomnography. Eight cases were cured; 36 cases had notable effects; 25 cases had effects; 7 cases had no effects. The total ratio of validity was 90.8 %.Conclusion:It has clinical value to use LAUP in treatment of OSAHS, and its advantage include hemostasia, solidfication, penetrability, clear visual threshold, lower complication and shortening the surgery time.
Keywords:Obstructive sleep apnea-hypopnea syndrome  Laser surgery  Uvulopalptoplasty
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