CAJ | 학술논문

目的：观察改良咽侧成形术联合舌骨甲状软骨悬吊术手术治疗阻塞性睡眠呼吸暂停低通气综合征的治疗效果。方法本课题以2010年2月至2012年5月期间于我院诊断为OSAHS并且行手术治疗的患者为观测对象，采用回顾分析的研究方法，将临床资料完整的病例分为两组，一组采用改良咽侧成形术，一组采用改良咽侧成形术联合舌骨甲状软骨悬吊术，分别统计二者治疗前及治疗后6个月的PSG监测结果，并对其治疗效果及安全性进行评价。结果共计纳入有效病例47例，其中第一组26例，第二组21例。第一组治愈5例，显效11例，有效7例，无效3例，总有效率为88%；第二组治愈5例，显效12例，有效4例，无效0例，总有效率为100%。二者总有效率之间的差异有统计学意义（P<0.05）。结论改良咽侧成形术联合舌骨甲状软骨悬吊术治疗阻塞性睡眠呼吸暂停低通气综合征疗效安全可靠、操作简单方便、治愈率高，值得临床推广应用。
목적：관찰개량인측성형술연합설골갑상연골현조술수술치료조새성수면호흡잠정저통기종합정적치료효과。방법본과제이2010년2월지2012년5월기간우아원진단위OSAHS병차행수술치료적환자위관측대상，채용회고분석적연구방법，장림상자료완정적병례분위량조，일조채용개량인측성형술，일조채용개량인측성형술연합설골갑상연골현조술，분별통계이자치료전급치료후6개월적PSG감측결과，병대기치료효과급안전성진행평개。결과공계납입유효병례47례，기중제일조26례，제이조21례。제일조치유5례，현효11례，유효7례，무효3례，총유효솔위88%；제이조치유5례，현효12례，유효4례，무효0례，총유효솔위100%。이자총유효솔지간적차이유통계학의의（P<0.05）。결론개량인측성형술연합설골갑상연골현조술치료조새성수면호흡잠정저통기종합정료효안전가고、조작간단방편、치유솔고，치득림상추엄응용。
Objective Observe the therapeutic effect of the uppp joint hyoid thyroid cartilage suspension surgery in for the treatment of obstructive sleep apnea hypopnea syndrome(OSAHS). Methods The object observation of the subject is the patient who diagnosed with OSAHS, and treatmented buy surgical methods in our hospital during February 2010 to May 2012. Divid the complete clinical data into two groups by retrospective analysis. One set using the Lateral pharyngeal angioplasty, anther Lateral pharyngeal angioplasty joint hyoid thyroid cartilage suspension surgery. Then statistics its PSG monitoring results that before treatment and 6 months after treatment, and evaluate its therapeutic effect and safety. Results A total of effective cases is 47 cases, including 26 cases of the first group, the second group of 21 patients. Five cases were cured, 11 cases were markedly effective effective in 7 cases, and 3 ineffective in the first group,so the total efficiency rate was 88%;5 cases were cured, 12 cases were markedly effective effective in 4 cases, and zero ineffective in the second group,and the total efficiency rate was 100%. There was significant difference (P<0.05). Conclusion The improved velopharyngeal angioplasty joint hyoid thyroid cartilage sling procedure for the obstructive sleep apnea hypopnea syndrome is safe and reliable, and it has the advantages of simplly operat and has the higner cure rate. It’s is worthy of clinical.