CAJ | 학술논문

目的：观察评价双颌前徙逆时针旋转治疗重度、复杂、多水平阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的疗效。方法：对12例重度、复杂、多水平睡眠呼吸暂停低通气综合征患者（均为男性，年龄26～56岁）采用双颌前徙逆时针旋转的正颌手术的方法进行矫治，随访1年。结果：经过大约1年的术后随访，12例患者 OSAHS 症状（睡眠打鼾、憋醒、大汗淋漓等症状）均消失，AHI 指数由术前41～80／h 降为术后1～5／h，睡眠时最低氧饱和度由术前的34％～80％上升至术后的95％～99％，平均氧饱和度由术前的62％～75％增加至术后的96％～99％。结论：双颌前徙逆时针旋转的正颌手术治疗重度、复杂、多水平睡眠呼吸暂停低通气综合征效果优良。
목적：관찰평개쌍합전사역시침선전치료중도、복잡、다수평조새성수면호흡잠정저통기종합정（OSAHS）적료효。방법：대12례중도、복잡、다수평수면호흡잠정저통기종합정환자（균위남성，년령26～56세）채용쌍합전사역시침선전적정합수술적방법진행교치，수방1년。결과：경과대약1년적술후수방，12례환자 OSAHS 증상（수면타한、별성、대한림리등증상）균소실，AHI 지수유술전41～80／h 강위술후1～5／h，수면시최저양포화도유술전적34％～80％상승지술후적95％～99％，평균양포화도유술전적62％～75％증가지술후적96％～99％。결론：쌍합전사역시침선전적정합수술치료중도、복잡、다수평수면호흡잠정저통기종합정효과우량。
Objective:To evaluate the effects of maxillomandibular advancement and contrarotation in the treatment of severe com-plicated multilevel obstructive sleep apnea/hypopnea syndrome (OSAHS).Methods:1 2 patients (all males,aged 26 to 56 years) with severe complicated multilevel OSAHS were treated by orthognathic surgery methods of maxillomandibular advancement and cont-rarotation and followed up for 6 -1 2 months.Results:After surgery the symptoms of all patients,such as snoring,waking up be-cause of stoke and streaming with sweat,disappeared or were ameliorated remarkably.The AHI index declined from 51 -70 before operation to 0 -3 after operation.While sleeping,their blood oxygen saturation augmented from 30% -70.1 % presurgically to 93%-99% postsurgically,and their average blood oxygen saturation increased from 60% -72% presurgically to 95% -99% postsurgi-cally in all 1 2 patients.Conclusion:Orthognathic surgery method of maxillomandibular advancement and contrarotation is effective in the treatment of severe complicated multilevel OSAHS.