舌骨颌下正中悬吊术治疗OSAS

目的：探讨应用舌骨颌下正中悬吊术治疗重度阻塞性睡眠呼吸暂停综合征(OSAS)的疗效。方法：重度OSAS患者28例，全麻下先行舌骨颌下正中悬吊术，同时行悬雍垂腭咽成形术(UPPP)，其中2例行气管切开。结果：术后随访0．5～3年，治愈16例(57．1％)，显效6例(21．4％)，改善5例(17．9％)，无效1例(3．6％)，总有效率为96．4％。术后扁桃体出血1例；全麻拔管后立即出现呼吸困难1例；影响舌功能1例。结论：在原UPPP的基础上，行注重咽部肌肉保护和位置调整的舌骨颌下正中悬吊术，提高了疗效，避免了气管切开术。

Central suspesion operation of hyoid and lower jaw for OSAS

Objective:To evaluate the prospective effect and minimize the postoperative trauma of applying the central suspesion operation of hyoid and lower jaw for the treatment for OSAS in 28 cases. Method:The data of 28 patients with obstructive sleep apnea syndrome(OSAS) operated with central suspesion operation of hyoid and lower jaw and uvulopalatopharyngoplasty(UPPP) were analyzed. Result:One case ( 3.6%) reported unchanged snoring and apnea and hyponea index . Twenty-seven cases ( 96.4%) improved after the operation for at least 6 months to 3 years. The complications include tonsil bleeding (1 case), suffocation after extraction of endotracheal tube (1 case), temporal tongue insufficiency (1 case).Conclusion:On the previous basis of UPPP , we emphasize the protection of pharynx muscles and adjusting the position. The central suspesion operation of hyoid and lower jaw not only increases the curative effect in the long run , but also avoids the tracheotomy.