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同期多平面手术治疗阻塞性睡眠呼吸暂停低通气综合征的疗效分析
引用本文:韩淼,刘涛,赵玉祥,杨花荣,郑茜玲.同期多平面手术治疗阻塞性睡眠呼吸暂停低通气综合征的疗效分析[J].延安大学学报(医学科学版),2011,9(4):36-37,39.
作者姓名:韩淼  刘涛  赵玉祥  杨花荣  郑茜玲
作者单位:延安大学附属医院耳鼻咽喉头颈外科一区,陕西延安,716000
基金项目:延安大学附属医院研究生创新基金
摘    要:目的探讨同期多平面手术治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的手术疗效。方法对32例OSAHS患者(2个及2个以上平面狭窄)进行鼻腔结构重建、舌体消融、悬雍垂腭咽成形术等手术方式中的二项或以上的联合手术,比较手术前、后6个月多导睡眠监测的结果及患者的主观感受,以评估手术疗效。结果 32例患者手术前、后最低血氧饱和度由(0.68±0.01)提高至(0.82±0.05),差异有统计学意义(t值分别为17.24、10.03,P值均〈0.01)。治愈14例(AHI〈5次/h),占43.75%,有效16例(AHI〉20次/h但降低幅度≥50%),占50.00%,无效2例(AHI降低幅度〈50%),占6.25%。结论同期多平面手术是治疗OS-AHS患者的安全有效的方法。

关 键 词:阻塞性睡眠呼吸暂停低通气综合征  同期  多平面手术

Clinical analysis of simultaneous multi- plane operation for the treatment of obstructive sleep apnea hypopnea syndrome
HAN Miao,LIU Tao,ZHAO Yu-xiang,YANG Hua-rong,ZHENG Xi-ling.Clinical analysis of simultaneous multi- plane operation for the treatment of obstructive sleep apnea hypopnea syndrome[J].Journal of Yanan University:Medical Science Edition,2011,9(4):36-37,39.
Authors:HAN Miao  LIU Tao  ZHAO Yu-xiang  YANG Hua-rong  ZHENG Xi-ling
Institution:HAN Miao,LIU Tao,ZHAO Yu-xiang,YANG Hua-rong,ZHENG Xi-ling(First district of Otolaryngology-Head and Neck department of Affiliated Hospital of Yan'an University,Shaanxi,yan'an 716000)
Abstract:Objective to investigate the simultaneous multi plane operation for the treatment of obstructive sleep apnea hypopnea syndrome(OSAHS) of the operation effect.Methods 32 cases of OSAHS(2 or more plane narrow) with nasal reconstruction,the tongue ablation,uvulopalatopharyngoplasty etc.of two or more plane operation,comparison before and after operation 6 months polysomnography outcome and the patient's subjective feelings,assessment of curative effect.Results 32 cases of patients before and after operation th...
Keywords:obstructive sleep apnea hypopnea syndrome  synchronization  multi plane operation  
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