Chen Gang, Zhao Hua, Wen Nire, Jing Jianjun, Li Shuhong
Department of Otorhinolaryngology, Urumqi Military General Hospital, the Lanzhou Military Command, Urumqi, 830000, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2011 May;25(9):392-4, 398.
To investigate the effect and clinical value of simultaneous multiple plane operations in treating severe OSAHS.
The clinical data of 93 patients with severe OSAHS were retrospectively analyzed. According to different obstruction plane, all the patients were performed different multiple planes of operations. Operations were finished in the same term. All patients underwent PSG examination before operation and 6-month, 1 year after surgical treatment separately.
No severe complication occurred. According to the assessment guidelines, the response rate was 100% in 6-month and 91.40% in 1-year respectively.
Most OSAHS have multi-level obstructions in upper airway caliber, such as nasal, nasopharyngeal, velo-pharyngeal and tongue-pharyngeal obstruction. Simultaneous multiple plane operations which based on multiple plane obstruction can improve curative effect.
探讨同期多平面手术治疗重度阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的疗效及临床价值。
回顾性分析93例重度OSAHS患者的临床资料。根据不同阻塞平面，对所有患者实施不同的多平面手术。手术同期完成。所有患者术前及术后6个月、1年分别进行多导睡眠监测（PSG）检查。
无严重并发症发生。按照评估标准，术后6个月有效率为100%，术后1年有效率为91.40%。
多数OSAHS患者存在上气道多平面狭窄阻塞，如鼻腔、鼻咽、腭咽和舌咽平面阻塞。基于多平面阻塞的同期多平面手术可提高疗效。
