CAJ | 학술논문

目的：评估悬雍垂腭咽成形术（ UPPP）联合Reposes系统舌根悬吊治疗伴有舌后坠阻塞性睡眠呼吸暂停低通气综合征（ OSAHS）的可行性和临床效果。方法回顾分析本科2010年7月～2012年12月行UPPP联合 Reposes 系统舌根悬吊治疗的14例伴有舌后坠 OSAHS 患者的临床资料。结果治愈3例（21．4％）、显效10例（71．4％）、有效1例（7．1％）。术前平均呼吸暂停低通气指数（ AHI）为50．7±19．4，术后平均AHI 为8．1±4．5（P＜0．05）；术前平均最低血氧饱和度（LSaO2）为66．6％±7．7％，术后平均LSaO2为78．6％±7．4％（P＜0．05）；术前Epworth 嗜睡量表（ESS）平均评分为（16．9±1．8）分，术后ESS平均评分为（8．3±2．4）（P＜0．05），差异均有统计学意义。主观症状均明显改善，术后1个月随访，未出现反流、吞咽及说话困难。结论 UPPP联合Reposes系统舌根悬吊治疗后，患者AHI、LSaO2及ESS指标均改善明显，该联合术式可作为治疗伴有舌后坠OSAHS的一个选择。（中国眼耳鼻喉科杂志，2015，15：13-15）
목적：평고현옹수악인성형술（ UPPP）연합Reposes계통설근현조치료반유설후추조새성수면호흡잠정저통기종합정（ OSAHS）적가행성화림상효과。방법회고분석본과2010년7월～2012년12월행UPPP연합 Reposes 계통설근현조치료적14례반유설후추 OSAHS 환자적림상자료。결과치유3례（21．4％）、현효10례（71．4％）、유효1례（7．1％）。술전평균호흡잠정저통기지수（ AHI）위50．7±19．4，술후평균AHI 위8．1±4．5（P＜0．05）；술전평균최저혈양포화도（LSaO2）위66．6％±7．7％，술후평균LSaO2위78．6％±7．4％（P＜0．05）；술전Epworth 기수량표（ESS）평균평분위（16．9±1．8）분，술후ESS평균평분위（8．3±2．4）（P＜0．05），차이균유통계학의의。주관증상균명현개선，술후1개월수방，미출현반류、탄인급설화곤난。결론 UPPP연합Reposes계통설근현조치료후，환자AHI、LSaO2급ESS지표균개선명현，해연합술식가작위치료반유설후추OSAHS적일개선택。（중국안이비후과잡지，2015，15：13-15）
Objective To evaluate the safety and efficacy of uvulopalatopharyngoplasty ( UPPP) combined with Repose system tongue-base suspension for obstructive sleep apnea hypopnea syndrome ( OSAHS) caused by glossoptosis . Methods Data of 14 of OSAHS patients caused by glossoptosis with UPPP combined with Repose System tongue -base suspension from July 2010 to December 2012 were analyzed retrospectively .Results UPPP combined with Repose system tongue-base suspension improved sleep and daytime symptoms related to OSAHS .After at least 6 months of follow-up,3 patients were cured(21.4%),10 persons improved markedly (71.4%),1 patient was effective (7.1%) and no patients were invalid.The average apnea-hypopnea index (AHI) decreased from 50.7 ±19.4 to 8.1 ±4.5 (P<0.05);The mean of (LSaO2) increased from 66.6%±7.7%to 78.6%±7.4%(P<0.05) and the average Epworth sleepiness scale scores decreased from 16.9 ±1.8 to 8.3 ±2.4 (P<0.05),respectively.Also,there was significant improvement in snoring,daytime sleepiness,and overall impact of the disease on quality of life .All patients returned to normal subjective swallowing and speaking function in the follow-up one month after the surgeries .Conclusions AHI, LSaO2 and ESS significantly improved in OSAHS patients treated with UPPP combined with Repose system tongue-base suspension .The surgery is a valid option for OSAHS patients caused by glossoptosis .