腭帆成形术联合硬腭截短软腭前移术治疗Ⅱ型中重度OSAHS的疗效分析
发布时间:2018-04-22 10:19
本文选题:睡眠呼吸暂停低通气综合征 + 阻塞性 ; 参考:《临床耳鼻咽喉头颈外科杂志》2014年21期
【摘要】:目的:探讨腭帆成形术(VPP)联合硬腭截短软腭前移术治疗Ⅱ型中重度OSAHS的疗效。方法:以32例经PSG确诊为中重度OSAHS的患者为研究对象,术前阻塞平面定位于上气道软腭平面(Ⅱ型),行VPP联合硬腭截短软腭前移术,对比手术前后Epworth嗜睡量表(ESS)评分、AHI和最低血氧饱和度(LSaO2)结果。结果:32例患者手术有效率为78.12%(25/32),其中治愈3例(9.38%);手术前后患者的ESS评分、AHI、LSaO2比较均差异有统计学意义(均P0.05);AHI降幅50%的7例患者,其ESS评分和LSaO2手术前后比较差异有统计学意义(P0.05)。结论:VPP联合硬腭截短软腭前移术可明显提高OSAHS的疗效。
[Abstract]:Objective: to evaluate the effect of VPP combined with anterior hard palate truncation in the treatment of moderate and severe OSAHS. Methods: 32 patients with moderate and severe OSAHS diagnosed by PSG were studied. The occlusion plane was located in the soft palate plane of the upper airway (type 鈪,
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