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[中线部分舌切除术在阻塞性睡眠呼吸暂停低通气综合征中的应用]

[Application of midline partial glossectomy for OSAHS].

作者信息

Kang Quanqing, Zhou Xiaohong, Xu Min, Zheng Guoxi, Shi Ji, Ma Weijun

机构信息

Department of Otolaryngology, the Second Hospital of Xi'an Jiaotong University, Xi'an, 710004, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2007 Mar;21(6):241-3.

Abstract

OBJECTIVE

To evaluate the prospective effect of applying midline partial glossectomy with Uvulopalatopharyngoplasty in the treatment of OSAHS.

METHOD

The data of 40 patients with OSAHS operated with midline partial glossectomy with UPPP were analyzed.

RESULT

The follow-up polysomnography (6-month follow-up) revealed that the mean apnea and hypopnea index decreased from 62.39+/-21.68 to 18.60+/-5.01 (P<0.01), and the mean minimal oxygen saturation (SaO2) increased from 64.40%+/-14.96% to 88.39%+/-9.21% (P<0.01). In general, 29 patients were with excellent curative effect, 8 with good effect, and 3 with bad effect. Total effective rate was 92.5%.

CONCLUSION

The study confirms that the same-stage midline partial glossectomy with UPPP for OSAHS is a safe and effective procedure.

摘要

目的

评估应用中线部分舌切除术联合悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的前瞻性效果。

方法

分析40例行中线部分舌切除术联合悬雍垂腭咽成形术治疗的OSAHS患者的数据。

结果

随访多导睡眠图(6个月随访)显示,平均呼吸暂停低通气指数从62.39±21.68降至18.60±5.01(P<0.01),平均最低血氧饱和度(SaO2)从64.40%±14.96%升至88.39%±9.21%(P<0.01)。总体而言,29例患者疗效极佳,8例效果良好,3例效果不佳。总有效率为92.5%。

结论

该研究证实,同期行中线部分舌切除术联合悬雍垂腭咽成形术治疗OSAHS是一种安全有效的手术方法。

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