CAJ | 학술논문

目的：探讨硬腭截短软腭前移-悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停综合征的手术效果。方法选择2012年1月~2014年1月在我院进行手术治疗的OSAHS患者，均行硬腭截短软腭前移-悬雍垂腭咽成形术，对31例 OSAHS患者(OSAHS组)术前、术后6个月进行上气道测压及CT腭咽部解剖测量，应用统计学方法对术前、术后资料进行比较分析，包括手术前后AHI、SaO2及上气道CT测量软腭后区左右径、软腭后区前后径、悬雍垂区左右径、悬雍垂区前后径。结果本组31例OSA患者均为2012年1月~2014年1月在我院进行手术治疗患者，31例OSA患者中，治愈16例、显效、有效11例、无效4例、有效率为87.1%。 OSAHS患者手术前后软腭后区左右径、软腭后区前后径、悬雍垂区左右径、悬雍垂区前后径比较，差异有统计学意义(P<0.01)。术后随访6个月6例术后出现鼻咽腔返流，后好转；3例有少量口咽出血。1例术后2周再发出血。1例术后1周黏骨膜愈合欠佳。结论OSAHS患者行硬腭截短软腭前移-悬雍垂腭咽成形术后软腭后气道明显扩大，腭咽前后径增加，值得临床推广和应用。
목적：탐토경악절단연악전이-현옹수악인성형술치료조새성수면호흡잠정종합정적수술효과。방법선택2012년1월~2014년1월재아원진행수술치료적OSAHS환자，균행경악절단연악전이-현옹수악인성형술，대31례 OSAHS환자(OSAHS조)술전、술후6개월진행상기도측압급CT악인부해부측량，응용통계학방법대술전、술후자료진행비교분석，포괄수술전후AHI、SaO2급상기도CT측량연악후구좌우경、연악후구전후경、현옹수구좌우경、현옹수구전후경。결과본조31례OSA환자균위2012년1월~2014년1월재아원진행수술치료환자，31례OSA환자중，치유16례、현효、유효11례、무효4례、유효솔위87.1%。 OSAHS환자수술전후연악후구좌우경、연악후구전후경、현옹수구좌우경、현옹수구전후경비교，차이유통계학의의(P<0.01)。술후수방6개월6례술후출현비인강반류，후호전；3례유소량구인출혈。1례술후2주재발출혈。1례술후1주점골막유합흠가。결론OSAHS환자행경악절단연악전이-현옹수악인성형술후연악후기도명현확대，악인전후경증가，치득림상추엄화응용。
Objective To further investigate the effet of soft palate advancement-hard palate shortening uvulopalatopharyn-goplasty for treatment of obstructive sleep apnea syndrome (Obstructive sleep apnea syndrome,OSAHS). Methods From January 2012 to January 2014,selected OSAHS patients in our hospital for surgery,underwent Hard palate shortening forward uvulopalatopharyngoplasty surgery,31 cases of OSAHS patients (OSAHS group) before and after surgery, the upper airway pressure and CT the velopharyngeal anatomy. Statistical analysis data of preoperative, post-operative. Including before and after the operation before and after AHI, SaO2 and CT measurements of upper airway soft palate about size, soft palate, uvula area anteroposterior diameter of about diameter, diameter of uvula. Results Cured 16 cases,markedly effective,effective 11 cases,invalid 4 cases,the efficiency was 87.1%,the normal group and the OSAHS group of palate diameter,soft palate,uvula area about the size of anteroposterior diameter, anteroposterior diameter of uvula area,the difference was statistically significant (P<0.01).After a follow up of 6 months,6 of 3 cases after D in nasalregurgitation,3 cases improved after 2 weeks;Rebleeding in 1 patient after a small amount of oropha-ryngeal hemorrhage. In 1 patients after 1 weeks of mucoperiosteal poor healing. Conclusion The normal adult OSAHS patients with velopharyngeal plane narrowdifferences. Patients with OSAHS soft palate advancement-hard palate short eninguvulo palatopharyngoplasty soft palate velopharyngeal airway expanded significantly,anteroposterior diameter in-crease.