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[睡眠呼吸暂停综合征。悬雍垂腭咽成形术后的评估]

[Sleep apnea syndrome. Evaluation following uvulopalatopharyngoplasty].

作者信息

Rampelberg O, Deleuze M, Dolhen P, Hennebert D

机构信息

Service O.R.L., Hôpital Saint-Pierre, Bruxelles.

出版信息

Acta Otorhinolaryngol Belg. 1993;47(1):59-64.

PMID:8470552
Abstract

20 cases of uvulopalatopharyngoplasty performed on patients suffering from sleep apnea syndrome have been studied with a pre- and post-operative polysomnographic recording. Eleven patients (55%) responded to this therapy and showed a significative decrease of their post-operative apnea-hypopnea index. An increase of the mean oxygen saturation was noticed during sleep. On the contrary, the sleep quality did not improve. Age, weight, apnea index are not predictive factors influencing the result of UPPP. Even if UPPP has a relatively poor success rate it still should be proposed to patients suffering from sleep apnea syndrome as it remains the simplest and best tolerated surgical treatment.

摘要

对20例患有睡眠呼吸暂停综合征的患者进行了悬雍垂腭咽成形术,并在术前和术后进行了多导睡眠图记录研究。11例患者(55%)对该治疗有反应,术后呼吸暂停低通气指数显著降低。睡眠期间平均血氧饱和度有所增加。相反,睡眠质量并未改善。年龄、体重、呼吸暂停指数不是影响悬雍垂腭咽成形术结果的预测因素。即使悬雍垂腭咽成形术的成功率相对较低,但仍应向患有睡眠呼吸暂停综合征的患者推荐,因为它仍然是最简单且耐受性最好的外科治疗方法。

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