同期鼻腔手术+悬雍垂腭咽成型术治疗阻塞性睡眠呼吸暂停低通气综合征

目的 探讨同期鼻腔手术+悬雍垂腭咽成型术治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效情况。方法 对40例伴有鼻阻塞的OSAHS患者分A、B两组，Ａ组行鼻腔手术+悬雍垂腭咽成型术(UPPP)，Ｂ组行悬雍垂腭咽成型术，术后6个月复查睡眠监测，比较术前术后呼吸暂停低通气指数(AHI)。结果 Ａ、Ｂ两组OSAHS患者术后AHI平均值均降低，Ａ组有效率较Ｂ组高。结论 同期鼻腔手术+悬雍垂腭咽成型术治疗鼻腔、咽腔双平面阻塞的OSAHS患者效果可靠，值得推广。

One-stage nasal surgery and uvulopalatopharyngoplasty for obstructive sleep apnea-hyponea syndrome

Objective To investigate the clinical efficacy of uvulopalatopharyngoplasty(UPPP) with nasal surgery for patients with obstructive sleep apnea-hypopnea syndrome(OSAHS). Methods 40 OSAHS patients were divided into the A or B group, in which group A underwent UPPP with nasal surgery, which group B underwent only UPPP. The clinical results and the average apnea-hypopnea index (AHI) before and after the operation were compared. Results The average AHI were all decreased, however, the result of group A was better than the group B 6 months after the operation. Conclusion UPPP with nasal surgery is an available and relatively safe surgical approach for the OSAHS patients with nasal obstruction.