CAJ | 학술논문

目的:UPPP联合硬腭截短软腭前移术对阻塞性睡眠呼吸暂停低通气综合征的治疗效果研究.方法:对20例患者先行UPPP术,后行硬腭截短软腭前移术,通过对比术前、术后ESS评分、PSG(多导睡眠监测)、头影测量、AHI以及SaO2的指数监测.结果:比较术前、术后的AHI、ESS评分以及最低SaO2,以P<0.05,差异有统计学意义;复查咽腔形态发现所有患者软腭后间隙显著增大,软腭运动正常.结论: UPPP联合硬腭截短软腭前移术是扩大腭咽前后位距离和骨性鼻咽腔的有效方法,联合手术法提高手术治愈率和有效率,值得临床广泛推广.
목적:UPPP연합경악절단연악전이술대조새성수면호흡잠정저통기종합정적치료효과연구.방법:대20례환자선행UPPP술,후행경악절단연악전이술,통과대비술전、술후ESS평분、PSG(다도수면감측)、두영측량、AHI이급SaO2적지수감측.결과:비교술전、술후적AHI、ESS평분이급최저SaO2,이P<0.05,차이유통계학의의;복사인강형태발현소유환자연악후간극현저증대,연악운동정상.결론: UPPP연합경악절단연악전이술시확대악인전후위거리화골성비인강적유효방법,연합수술법제고수술치유솔화유효솔,치득림상엄범추엄.
@@@@Objective:Effect of UPPP joint the hard palate truncated soft palate forward surgery treatment of obstructive sleep apnea hypopnea syndrome.Methods:UPPP surgery, underwent hard palate, the truncated the soft palate forward surgery first, 20 patients through comparison of preoperative and postoperative ESS score, PSG (polysomnography), cephalometric, AHI and SaO2 index monitoring. Results:Compare preoperative and postoperative AHI, ESS score and the lowest SaO2, to P<0.05, significant difference;review pharynx morphology found that all patients retropalatal, gap significantly increased, normal soft palate movement.Conclusion:The the the UPPP joint the hard palate truncated soft palate forward technique is an effective way to expand the velopharyngeal anteroposterior distance and bony nasopharynx, combined surgical method to improve the cure rate and efficiency, is worthy of wide dissemination.