Baisch Alexander, Maurer Joachim Theodor, Hörmann Karl
Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital Mannheim, Mannheim, Germany.
Otolaryngol Head Neck Surg. 2006 May;134(5):856-61. doi: 10.1016/j.otohns.2006.01.015.
This study investigated the outcome of the hyoid suspension as a part of a multilevel surgery protocol.
Eighty-three patients with obstructive sleep apnea (OSA) underwent a multilevel surgical treatment because of continuous positive-airway pressure intolerance, 67 with the hyoid suspension and 16 without the hyoid suspension. All patients underwent a pre- and postoperative polysomnography in the sleep laboratory.
The mean preoperative apnea hypopnea index (AHI) was 36.4+/-21.2 and 19.4+/-19.7 postoperatively for all patients (P<0.0001). Further statistically significant changes were found for the arousal index, the oxygen saturation, and the daytime sleepiness. No statistically significant change was found for body mass index. In the group of patients treated without the hyoid suspension, the AHI did not decrease statistically significant. After surgery, 59.7% of the subjects with the hyoid suspension were regarded as cured.
Multilevel surgery including the hyoid suspension is an effective treatment in subgroup of OSA patients.
C-4.
本研究调查了作为多级手术方案一部分的舌骨悬吊术的效果。
83例阻塞性睡眠呼吸暂停（OSA）患者因持续气道正压通气不耐受接受了多级手术治疗，其中67例行舌骨悬吊术，16例未行舌骨悬吊术。所有患者均在睡眠实验室进行了术前和术后多导睡眠图检查。
所有患者术前平均呼吸暂停低通气指数（AHI）为36.4±21.2，术后为19.4±19.7（P<0.0001）。在觉醒指数、血氧饱和度和日间嗜睡方面发现了进一步的统计学显著变化。体重指数未发现统计学显著变化。在未行舌骨悬吊术的患者组中，AHI没有统计学显著下降。手术后，59.7%行舌骨悬吊术的受试者被视为治愈。
包括舌骨悬吊术在内的多级手术是治疗OSA患者亚组的有效方法。
C-4。
