【摘要】：目的:探討鼻腔擴(kuò)容術(shù)在治療以鼻塞為主的阻塞性睡眠呼吸暫停低通氣綜合征(OSAHS)中的意義。方法:在鼻內(nèi)鏡下對(duì)48例伴鼻腔結(jié)構(gòu)異常的OSAHS患者施行鼻腔擴(kuò)容術(shù),觀察患者術(shù)后主客觀癥狀改善情況。結(jié)果:術(shù)后12個(gè)月PSG復(fù)查,治愈60.4%(29/48),顯效20.8%(10/48),有效8.3%(4/48),無效10.4%(5/48)。全部患者呼吸暫停、低通氣、LSaO2和嗜睡程度明顯改善,鼻塞癥狀明顯減輕,唯有鼾聲改善不甚明顯。結(jié)論:鼻腔擴(kuò)容術(shù)治療以鼻塞為主的OSAHS療效較好,其適應(yīng)證是伴有鼻塞癥狀的OSAHS和上呼吸道阻力綜合征的患者,根據(jù)患者具體病情實(shí)行個(gè)體化手術(shù)治療可獲得良好的臨床效果。手術(shù)應(yīng)以糾正鼻腔結(jié)構(gòu)異常、調(diào)整兩側(cè)氣流的對(duì)稱性分布為主,以維系正常通氣功能。
[Abstract]:Objective: to investigate the significance of nasal cavity dilatation in the treatment of obstructive sleep apnea hypopnea syndrome (OSAHS). Methods: nasal cavity dilatation was performed on 48 OSAHS patients with abnormal nasal cavity structure under nasal endoscope, and the improvement of subjective and objective symptoms was observed. Results: 12 months after PSG, 60.4% (29 / 48) were cured, 20.8% (10 / 48) were significantly improved, 8.3% (4 / 48) were effective, and 10.4% (5 / 48) were ineffective. In all patients, apnea, hypopnea, LSaO2 and somnolence were significantly improved, nasal congestion was alleviated, but snoring was not significantly improved. Conclusion: nasal cavity dilatation is effective in the treatment of OSAHS with nasal congestion. The indications are OSAHS with nasal congestion and upper respiratory resistance syndrome. Individualized operation can obtain good clinical effect according to the specific condition of the patients. In order to maintain the normal ventilation function, the main operation should be to correct the abnormal structure of nasal cavity and adjust the symmetrical distribution of airflow on both sides.
【作者單位】： 四川省人民醫(yī)院耳鼻咽喉科;
【分類號(hào)】：R766

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