CAJ | 학술논문

目的探讨采用改良悬雍垂腭咽成形术（MUPPP)治疗阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的临床疗效。方法对我科2010年11月—2011年11月期间，15例患者经过多导睡眠呼吸监测（PSG)确诊为阻塞性睡眠呼吸暂停低通气综合征（OSAHS)，均采用改良悬雍垂腭咽成形术（MUPPP)，并对手术前后的临床效果进行比较。结果对15例患者运用MUPPP，术后进行跟踪随访（时间为1年），采用主观问卷调查和PSG客观监测，观察到术后呼吸紊乱指数（AHI)较术前明显降低，最低氧饱和度和平均氧饱和度较术前明显提高，患者嗜睡、打鼾、憋气及头痛等症状在手术治疗1年后明显消失，总有效率为100%，术后无一例并发症发生。结论使用MUPPP治疗OSAHS，能够有效增大腭咽腔通气面积，并能保留咽腔基本解剖结构和形态，治疗效率高，并发症少，值得临床推广和应用。
목적탐토채용개량현옹수악인성형술（MUPPP)치료조새성수면호흡잠정저통기종합정（OSAHS）적림상료효。방법대아과2010년11월—2011년11월기간，15례환자경과다도수면호흡감측（PSG)학진위조새성수면호흡잠정저통기종합정（OSAHS)，균채용개량현옹수악인성형술（MUPPP)，병대수술전후적림상효과진행비교。결과대15례환자운용MUPPP，술후진행근종수방（시간위1년），채용주관문권조사화PSG객관감측，관찰도술후호흡문란지수（AHI)교술전명현강저，최저양포화도화평균양포화도교술전명현제고，환자기수、타한、별기급두통등증상재수술치료1년후명현소실，총유효솔위100%，술후무일례병발증발생。결론사용MUPPP치료OSAHS，능구유효증대악인강통기면적，병능보류인강기본해부결구화형태，치료효솔고，병발증소，치득림상추엄화응용。
Objective To assess the effect modified uvulopalatopharyngoplasty(MUPPP) in treatment of obstructive sleep apnea-hypopnea syndrome (OSAHS). methods 15 patients with OSAHS were diagnosed definitely after polysomnography(PSG) and Treatment of modified uvulopalatopharyngoplasty ,and clinical effects were comparedcompared before and after operation in the period from November 2010 to November 2011. results PSG objective tests and subjective investigations were performed with such 15 patients by followed up to one year, apnea hyponea index(AHI)decreased from preoperative , the lowest pulse oxygen saturation and the average oxygen saturation were improved obviously.The symptoms of drowsiness, snore,Breath-holding and headache disappeared within one year after operation. the effective rate was 100%and no one had complication.conclusion MUPPP could effectively increase the ventilate area of Palatophargngeal cavity in the treatment of OSAHS.it could reserve anatomic structure and morphous,It was worthy of clinical generalization and application of high curative efficacy and fewer complications