[腭帆部分切除术治疗睡眠呼吸暂停低通气综合征的疗效。57例患者的经验]

[Effectiveness of the partial velopalatine++ resection in obstructive apnea syndrome during sleep. Experience with 57 patients].

作者信息

Pedro-Botet J, Roca A, Quesada P, Perelló E, Sagalés M T, Vaqué J

机构信息

Servicio de Medicina Interna, Universitària Vall d'Hebron, Barcelona.

出版信息

Med Clin (Barc). 1993 Sep 11;101(7):249-52.

PMID:7745998

Abstract

BACKGROUND

The aim of this study was to determine the result of partial resection of the soft palate (SPR) as a treatment of the obstructive apnea syndrome during sleep (OASS).

METHODS

Fifty-seven patients diagnosed of OASS treated with SPR were studied. The clinical and polysomnographic results prior to surgery and after 6 months were compared.

RESULTS

Prior to SPR the 57 patients had a mean index of apnea plus hypopnea per hour of 57 (IAH) and following surgery the same was of 19.2 (p < 0.0001). IAH improved more than 50% in 42 patients (74%), 30 of whom were cured (IAH < or = 10). Daily hypersomnia and snoring disappeared in 58% of the patients and decreased in intensity in most of the remaining cases. The secondary effects observed following SPR were: rhinolalia, nasal fluid reflux, and oropharyngeal disturbances, being present in 32 patients (56%) and permanent, although slight, in only 13 (23%).

CONCLUSIONS

Soft palate resection is a good surgical procedure for therapy of obstructive apnea during sleep, with only slight secondary effects.

摘要

背景

本研究旨在确定软腭部分切除术（SPR）治疗睡眠中阻塞性呼吸暂停综合征（OASS）的效果。

方法

对57例接受SPR治疗的OASS患者进行研究。比较手术前及术后6个月的临床和多导睡眠图结果。

结果

SPR手术前，57例患者每小时的平均呼吸暂停加低通气指数（IAH）为57，术后为19.2（p < 0.0001）。42例患者（74%）的IAH改善超过50%，其中30例治愈（IAH≤10）。58%的患者每日的嗜睡和打鼾症状消失，其余大多数患者症状强度减轻。SPR术后观察到的次要影响有：鼻音、鼻液反流和口咽不适，32例患者（56%）出现这些症状，仅13例（23%）症状持续存在，不过症状较轻。