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目的探讨综合治疗阻塞性睡眠呼吸暂停综合征(OSAHS)的手术治疗方法,观察分析其疗效。方法75例确诊为阻塞性睡眠呼吸暂停综合症(OSAHS)患者常规行鼻咽纤维镜、CT、X光检查及多导睡眠检测仪(PSG)监测,并针对病因采取相应手术治疗。结果75例患者,其中男58例,占77.3%;女17例,占22.6%。其中鼻中隔偏曲28例,29.97%;占29.97;下鼻甲肥大27例,占18.3%;鼻腔息肉16例,占10.06%;扁桃体肥大39例,占26%;舌根肥厚8例,占7.5%;软腭松弛14例,占8.2%;经鼻腔手术34例,占22.6%;施行双侧腭扁桃体切除17例,占11.8%;射频治疗联合悬雍垂腭咽成形术(UPPP)24例,占16%。改良式悬雍垂腭咽成形术(H-UPPP)手术24例,占16%。结论OSAHS病因很多,对于上气道解剖不同而发生OSAHS患者实施相应的手术治疗,其效果显著。
Objective To investigate the surgical treatment of obstructive sleep apnea syndrome (OSAHS) and observe its curative effect. Methods Seventy - five patients diagnosed as obstructive sleep apnea syndrome (OSAHS) underwent routine nasopharyngeal fibroscope, CT, X - ray examination and polysomnography (PSG) monitoring, and the corresponding surgical treatment for the cause was performed. Results 75 patients, including 58 males, accounting for 77.3%; 17 females, accounting for 22.6%. Among them, nasal septum deviation in 28 cases, 29.97%, accounting for 29.97; inferior turbinate hypertrophy in 27 cases, accounting for 18.3%; nasal polyps in 16 cases, accounting for 10.06%; tonsil hypertrophy in 39 cases, accounting for 26%; tongue hypertrophy in 8 cases, accounting for 7.5% Soft palate was relaxed in 14 cases, accounting for 8.2%; nasal surgery in 34 cases, accounting for 22.6%; bilateral palatal tonsillectomy in 17 cases, accounting for 11.8%; radiofrequency treatment combined with uvulopalatopharyngoplasty (UPPP) in 24 cases %. There were 24 cases (16%) with modified uvulopalatopharyngoplasty (H-UPPP). Conclusion There are many causes of OSAHS. The surgical treatment of OSAHS patients with different upper airway anatomy is significant.